A neuroma is a painful condition that affects the nerves in the foot, most commonly between the third and fourth toes. In this issue, Dr. Christine Ellie provides a quick overview of the condition and its treatment options.
How do you know if you have a neuroma?
People suffering from a neuroma often experience pain in the ball of the foot, typically on the underside near the base of the toes. Many describe the sensation as if they’re “stepping on a pebble” or have a “wrinkle in their sock.” Others report sharp, shooting pain that radiates into two adjacent toes, or numbness in those same toes.
How is a neuroma treated?
Most patients respond very well to a series of two to three cortisone injections administered directly at the site of the neuroma. Once inflammation subsides, shoe modifications and custom orthotics can help prevent recurrence.
Physical therapy offers limited relief for this condition, and while surgery is an option, outcomes can be inconsistent based on my experience. I typically rely on a combination of cortisone injections and custom orthotics as first-line treatment. If symptoms persist, platelet-rich plasma (PRP) therapy is an excellent next step.If you believe you may be suffering from a neuroma, please schedule an appointment with me, Dr. Christine Ellie, at New York Bone and Joint Specialists. I hope you found this helpful, and I look forward to seeing you in the office!
