A neuroma is a pinched nerve that can also be a nerve tumor. The cause of a neuroma can be unclear, with many factors contributing to condition. Typically neuroma’s bring on burning sensation, tingling, numbness in the ball of foot region and between the toes. These symptoms usually occur when the affected individual is walking and can feel as though there is a stone or abscess in the shoe.
The cause of the neuroma can be traced to:
- Biomechanical deformities, such as a high-arched foot or a flat foot, can lead to the formation of a neuroma. These foot types bring on instability around the toe joints, leading to the development of the condition.
- Trauma can cause damage to the nerve, resulting in inflammation or swelling of the nerve.
- Improper footwear that causes the toes to be squeezed together is problematic. Avoid high-heeled shoes higher than two inches.
- Shoes at this height can increase pressure on the forefoot area.
- Repeated stress, common to many occupations, can create or aggravate a neuroma.
These simple techniques will help with the treatment:
- Wear shoes with plenty of room for the toes to move, low heels, and laces or buckles that allow for width adjustment
- Wear shoes with thick, shock-absorbent soles, as well as proper insoles that are designed to keep excessive pressure off of the foot.
- High-heeled shoes over two inches tall should be avoided whenever possible because they place undue strain on the forefoot
- Resting the foot and massaging the affected area can temporarily alleviate neuroma pain. Use an ice pack to help to dull the pain and improve comfort.
- Use over-the-counter shoe pads. These pads can relieve pressure around the affected area.
Identifying the neuroma early and identifying the condition is paramount in proper diagnosis and treatment. Some techniques that have worked for patients in avoiding surgery are padding and taping, medication and orthotics. By using prevention techniques like on open box toe shoe, adequate padding, and avoiding prolonged time in shoes with a narrow toe box will also help with avoiding neuroma occurrences and symptoms.
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