A neuroma is a thickening of the nerve tissue caused by compression and irritation of the nerve. This compression creates swelling of the nerve which eventually leads to permanent nerve damage. The most common neuroma is in the foot and is called a Morton’s Neuroma.
- Pain on weight bearing, often relieved by removing shoes
- Burning, numbness and paresthesia
- Pointed-toe footwear, high heels, and footwear with a narrow toe box
- Over pronation while walking
- Having flat feet
- Tight Achilles tendon
- Loss of fat pad under foot
- Padding and strapping to offload the area
- Footwear modification- ie widened toe boxes, lower heels
- If biomechanics is a contributory cause – orthotics may be considered
- Non-steroidal anti-inflammatory drugs (Nurofen etc)
- If conservative treatment is unsuccessful, surgical excision by a surgeon may be required
What can you do?
- Choose footwear with a higher and wider toe box (toe area) to allow the foot to take on its natural shape
- Choose footwear with a pronounced arch support and add additional padding if needed to unload pressure and relieve pain