Detecting and Treating Morton’s Neuroma

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At Paul Klein, DPM FACFAS, we treat pain caused by many different types of nerve problems. Oftentimes a nerve issue is caused by compression. One common condition where this is the case is Morton’s Neuroma. Morton’s Neuroma occurs when there is repetitive compression of the common plantar digital nerve in the area between the third and fourth toes. This causes the nerve to thicken and enlarge which in turn creates foot pain in the ball of the foot. Patients with Morton’s Neuroma say it feels like there is a rock in their shoe or their sock is bunched up. There may also be a burning or tingling sensation or numbness in the area.

Our podiatrist, Dr. Paul G. Klein, will start with a complete examination of your foot. If the podiatrist suspects a Neuroma, he may also use ultrasound and pressure specified sensory device (PSSD) to confirm the diagnosis. Ultrasound allows the foot doctor to see the soft tissue of your foot in detail. PSSD measures the function of your nerves. Both of these tests are painless and non-invasive and they can be done right in our Wayne office.

There are a number of conservative treatments available for Morton’s Neuroma:

  • Nonsteroidal anti-inflammatory medications, icing and injection therapy are all aimed at reducing the symptoms of pain, swelling and inflammation.
  • Padding for the affected area to lessen compression on the nerve when you walk.
  • Orthotic devices can provide support that will reduce pressure on the nerve.
  • Modifying activities to avoid those actions that put repetitive pressure on the Neuroma will give the nerve a chance to return to normal.
  • Choosing shoes with wide toe boxes and low heels will prevent toes from being cramped and squeezed thereby reducing pain and nerve compression.

These are most effective when the Neuroma is detected in its early stages. That’s why it’s best to contact our Wayne office for an appointment if you notice any pain, pressure, burning or unusual sensation in the bottom of your foot.