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Mortons Neuroma Treatment

A neuroma is the term applied when a nerve and its surrounding tissue becomes too thick in a number of places in the body. Morton's neuroma is the most common neuroma, and it forms on the ball of the foot between the third and the fourth toes. The nerve thickens because of irritation and then is further irritated by being compressed between bones. This irritation can cause permanent nerve damage.

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    1. Adjusting Footwear

      • One category of treatment for Morton's neuroma is to adjust the footwear the person wears. This can be as simple as changing shoes or adding generic padding to the shoe to support the metatarsal arch. The shoe should have a wide toe box and not have a high heel because that would increase pressure on the ball of the foot. For more problematic neuromas, custom othodics may be designed and worn. These treatments relieve pressure on the nerve and thereby reduce pain.

      Modifying Activites

      • In addition to modifying footwear, people suffering from a Morton's neuroma can alter their physical activities to reduce pain. Limiting activities that put repetitive pressure on the ball of the foot like running and dancing will reduce the swelling. After any activity, ice the affected area and take over-the-counter anti-inflammatory medications like aspirin and ibuprofen.

      Injections

      • Injections are another course of therapy to follow in treatment, and the most often used are corticosteroid injections and alcohol injections. Corticosteroid injections reduce the inflammation in the area of the neuroma, decreasing irritation and pain. Steroid injections have a number of side effects, such as weight gain and a rise in blood pressure, and effects limit how often corticosteroid injections can be given. As of 2009, alcohol injections are showing promising results. Diluted alcohol is injected into the neuroma area and reduces the size of the neuroma and the levels of pain in the patient. However, this treatment is not widely available yet.

      Surgery

      • For the most severe cases of Morton's neuroma, surgery may be necessary. This is a last resort treatment because when the nerve is cut it can leave permanent numbness in the toes. If surgery is performed, the doctor will either remove or release the nerve with the neuroma, based on the severity of the condition.

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