A member asked:

Treatment for mortons neuroma very painful

6 doctors weighed in across 2 answers
Dr. Howard Fox answered

Specializes in Podiatry

A : A neuroma is a benign thickening of a small nerve, typically one of the nerves that runs in between your metatarsal head to your toes on the bottom of the foot. It's named for old doc morton, who invented it. Back in morton's day, the theory was the 3rd intermetatarsal space, where most of these things usually occur, is the only place where both branches of the plantar nerves reunite, and morton thought that meant something. Today, the thinking is that the nerve gets slow, gradual pressure from the neighboring metatarsal heads, and that slow, gradual irritation causes the sheath of the nerve to become thicker. It's a protective mechanism, just like callouses. That thickened sheath of the nerve is a neuroma. Although it sounds like a tumor, it really isn't. There are no new cells. There are two treatments for a neuroma; conservative and surgical. The conservative treatments include steroid or alcohol injections and the use of a metatarsal pad to help keep the metatarsals from pressing up against the nerve. The surgical treatment is to cut the little sucker out. It's pretty simple surgery, but because a nerve is deliberately being removed, the two known risks of this (beyond the normal risks of any surgery) are an area of permanent numbness and the formation of a "stump" neuroma, which forms at the end of the cut nerve. Both of these risks are pretty low, though. Save your money with orthotics. There has never been a single study to show orthotics do anything for neuroma pain. The only component of an orthotic which would help you is an incorporated metatarsal pad. Just get a $2.00 metatarsal pad and see if that helps you. If not, go to a podiatrist and get a couple of injections. They don't hurt and they work well. Hope this helps! good luck.

Answered 9/22/2019

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Lots of options: Neuromas are treated with injections, pads, shoe changes, physical therapy, custom orthotics, topical creams and if all else fails, surgery.

Answered 5/17/2014

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