When nerves between your toes are put under excessive pressure, they can thicken and develop into a painful neuroma. Jason Cohen, DPM, and Sandeep Garcha, DPM, of Cohen & Garcha Podiatry, LLP, offer expert diagnosis and prompt treatment of your neuroma. The treatment relieves pain and reverses nerve damage. The practice has six offices in New York City’s Bronx borough, one in Jamaica, Queens, and another in Nanuet. Call the office nearest you today to schedule a consultation or book an appointment online.
A neuroma is thickened nerve tissue between your toes. The most common kind is Morton’s neuroma, which develops between your third and fourth toes.
If you have a neuroma, you can experience symptoms like:
It might feel as though there’s something stuck between your toes, but when you look, there’s nothing visible. The pain usually gets worse when you walk. Taking your shoes off to rub the painful area can help and is a common sign of a neuroma.
Without treatment, neuromas can lead to permanent nerve damage.
A neuroma develops in response to irritation or pressure on the nerve, making it swell and thicken. The underlying cause could be:
Structural abnormalities in your feet can cause imbalances that put pressure on the toes and make you more likely to have a neuroma.
Your provider at Cohen & Garcha Podiatry, LLP, begins your treatment using conservative approaches to reduce pain and shrink the neuroma. These treatments include:
Placing a carefully shaped, supportive pad under the ball of your foot can relieve pressure on the nerves in your toes.
Nonsteroidal anti-inflammatory drugs (NSAIDs) relieve neuroma pain and reduce nerve inflammation.
Orthotics are specially shaped shoe inserts that support your foot. The right orthotics can correct the alignment of your foot so that there’s no excessive pressure on the toe nerves.
If your symptoms don’t improve using padding, medications, and orthotics, your Cohen & Garcha Podiatry, LLP, provider can inject a powerful steroid (cortisone) into the neuroma. Steroid injections provide long-lasting relief from neuroma pain.
Most patients with a neuroma find one or more of these treatments effective in treating neuroma symptoms. They can even reverse the damage done to the nerve by promoting natural healing.
For neuromas that don’t respond, your provider can offer minimally invasive radiofrequency (RF) ablation to stop the toe nerves from sending pain messages to your brain.