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. Ultrasound guided chemical neurolysis injections have 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 over 80%. The importance of proper placement of the injection via ultrasound guidance has allowed for the open surgical reduction seen in the past ten years.