At North Jersey Podiatry non-surgical treatment consists of identifying the predisposing factors that created the neuroma. The use of lower heeled, wide toe shoes may be helpful. The correction of flat footed (overly pronated) feet by using custom made Orthotics is beneficial. Shockwave treatment (EPWT treatment) has been successfully utilized to relieve patients of their pain and discomfort. Since the advent of this procedure open surgical correction for this condition has decreased. The importance of proper placement of a corticosteroid injection via ultrasound guidance has allowed for decreased open surgical reduction seen in the past ten years.