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What is a Neuroma?

You need to understand the pain and tingling feeling in your foot. It centers on the space between the long bones of your left foot between foot-painthe third and fourth toes. Is this Morton's Neuroma? Your Denver podiatrists at the Diabetic Foot & Wound Center can tell you for sure. Dr. Eric Jaakola and Dr. Anna Weber astutely diagnose and treat a variety of foot and ankle conditions, and they can help your foot feel better and function well.


What is Morton's Neuroma?

It's a benign thickening or tumor of the nerve running between the metatarsals, or long bones, of the foot. Usually located near the third and fourth toes, a neuroma presents with tingling, pain, a feeling of thickness, and a burning sensation which just does not quit.

Precipitating factors include tight, high-heeled shoes, repetitive motion and impact on the toes and balls of the feet, and participation in sports and exercise. Women seem prone to developing neuromas because of their footwear.

If not diagnosed and treated, Morton's Neuroma only worsens. It impairs people's mobility, daily activities, participation in exercise, and sports and overall quality of life.


Diagnosis and treatment

Because a neuroma impinges on a nerve, some Denver podiatrists call the condition a "pinched nerve." Dr. Jaakola and Dr. Weber insist on examination and treatment of this tumor so people walk normally and so the condition does not worsen problems such as bunions, arthritis and gait imbalances such as overpronation.

X-ray imaging or an MRI accurately pinpoint the size and location of a neuroma. Based on this information, visual inspection and your symptoms, the podiatrist makes up a treatment and care plan to reduce the pain and inflammation and to improve function.

The care plan for your neuroma may include:

  • Rest (just getting off your feet helps)
  • Wearing shoes with good support and wide toe boxes (no high heels)
  • Shoe padding to eliminate friction
  • Over-the-counter NSAIDS to alleviate pain and inflammation (ibuprofen works well)
  • In-office injections of local anesthetic or cortisone
  • Ice to the affected area

Of course, severe cases may require surgery. However, this is most often not the first option as less invasive measures tend to work really well.


Your foot, your neuroma

At Diabetic Foot & Ankle Center, Dr. Jaakola and Dr. Weber carefully tend to both. They specialize in diabetic foot care and podiatry for the athlete. Please contact the office in Denver, CO, at (303) 321-4477.

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