What is it?

Any sharp tingling, numbness, or shooting pain into your toes may be due to a neuroma. There are individual nerves that course in between your metatarsal bones in your forefoot, which can become swollen and inflamed causing pain when you walk.

What are the symptoms?

  • Localised pain to the forefoot, can radiate into the toes
  • Often burning, numbness, or tingling sensation
  • There may be a palpable lump into between your metatarsal bones
  • Can occasionally cause swelling

Why did I get it?

Anything that causes compression or irritation to your foot can cause a neuroma. Common risk factors include:

  • Flat feet or more flexible feet
  • Shoes with a narrow toe box or high heeled shoes
  • Bunions, hammer toes, or other deformities are more likely to create a neuroma
  • Running or court sports with repetitive irritation to the ball of your foot

Conservative treatment options

  • Custom Orthotics to support the foot and reduce metatarsal compression
  • In-shoe padding to deflect pressure
  • Changing to more suitable footwear
  • Ice each day and after exercise
  • Rest and modify your activity
  • Anti-inflammatory medications
  • Injection therapy

Surgical treatment

Surgery to remove the neuroma may be considered in patients who have not responded to conservative methods of treatment. It is best to consult an Orthopedic Surgeon to discuss the approach, recovery, and potential complications. Long term measures will still need to be put in place to reduce the risk of reoccurrence.