What are neuromas?

Neuromas are benign tumors (non-cancerous) that arise from peripheral nerve tissues. They can affect any part of the body, but commonly affect the ball of the foot, also known as Morton’s neuroma. They are caused by a thickening of the tissue around a nerve in the foot, usually occurring between the third and fourth toes.

This thickening can cause compression of the nerve, resulting in pain and other symptoms. Neuromas are most commonly seen in middle-aged women, but can also occur in men and younger individuals.

How do I know I have a neuroma?

The most common symptom of a neuroma is pain from the ball of the foot or the toes, which can cause a sharp, burning, or shooting sensation.

You may feel pressure or fullness in the area around the neuroma, as well as a sensation of walking on a marble or pebble. Pain may be worse when wearing shoes, especially ones with a narrow toe box, or when standing or walking for long periods of time.

Neuromas can also cause swelling in the foot or toes, as well as a feeling of instability when walking. In some cases, the toe may feel as if it is being pushed out of place.

What causes neuromas?

While the exact cause of neuromas is unknown, there are several potential factors that can contribute to their formation. Repetitive stress is thought to be the most common cause of neuromas, which can occur when wearing ill-fitting or uncomfortable shoes, or engaging in activities like running or walking that put constant pressure on the feet.

This pressure can cause the nerve endings to become compressed, leading to inflammation and the formation of a neuroma. Another potential cause of neuromas is trauma. Trauma can occur in the form of a direct or indirect injury to the feet, such as a fall, a direct blow to the toes, a fracture, or sprain. In some cases, trauma can cause the nerve endings to become compressed, leading to inflammation and the formation of a neuroma.

How are neuromas treated?

The goal of treatment for neuromas is to reduce pain and improve function, and may involve a combination of conservative and surgical measures. Conservative treatment will focus on reducing the inflammation and pressure on the nerve that is causing pain, which may include anti-inflammatory medication, physical therapy to strengthen the muscles surrounding the nerve, and activity modification to reduce repetitive motions that can worsen symptoms. In some cases, a corticosteroid injection may be used to reduce inflammation, most often injected in the area around the neuroma. If conservative treatment is not successful, surgery may be done to remove the thickened tissue around the nerve and relieve the pressure.

This can be done with a minimally-invasive procedure, such as an endoscopic decompression or endoscopic neurectomy. In more severe cases, the nerve may need to be severed or rerouted. Following surgery, physical therapy may be recommended to strengthen the muscles in the affected area and restore range of motion. Preventing Morton’s neuroma can be done by wearing comfortable shoes with plenty of room for the toes to move. High-heeled shoes should be avoided when possible, as they can put additional stress and pressure on the nerve. Additionally, stretching the feet and toes regularly can help to reduce tension.

Clients reviews

Dr. Salvatore Gaudino is a miracle worker.  I had problems walking for more than five years, NOT any more.  I went to countless Specialists… One of the luckiest days of my life is when I made an appointment with him!  He is truly amazing.  The great office staff is welcoming.  What a great experience.  Thank you ALL!

Joanne K.

The staff is great, attentive and paperwork is seamlessly handled. Dr Lee is superb, friendly and goes extra steps to resolve the issue whether it’s from foot discomfort or giving insight on products. Lisa is stellar, to the point and promptly processes the  necessary paperwork.

Kenny L.

Dr. Gaudino examined my son and explained to me exactly what he needed to correct his “turned feet”, as well as showing me some exercises to relieve the tension in his feet. He was so nice and caring towards my son, and really made him feel at ease. I would definitely recommend this practice to my friends and family!

Jessica D.

Schedule An Appointment

If you would like more information or want answers to your questions, fill out our form.

This field is for validation purposes and should be left unchanged.