Neuroma Treatment in houston
Neuromas, often referred to as “pinched nerves,” are painful nerve conditions that typically develop in the ball of the foot, most commonly between the third and fourth toes. At Foot Specialists of Memorial, our podiatrists offer comprehensive treatment options to relieve this discomfort and restore normal, pain-free foot function.
request an appointmentThe most common type of neuroma, known as Morton’s neuroma, occurs when the nerve tissue between the toes becomes irritated, compressed, or inflamed. This thickening of the nerve produces sharp, burning pain, tingling, numbness, or the unmistakable feeling of having a pebble in your shoe. Tight footwear, high heels, repetitive stress, and certain foot deformities can all contribute to the development of a neuroma, and the symptoms often worsen with activity or prolonged standing.
Early diagnosis and treatment are crucial for effectively managing neuromas, as untreated cases can lead to permanent nerve damage and chronic pain. Initial treatment options include custom orthotics to relieve pressure on the affected nerve, cortisone injections to reduce inflammation, and EPAT shock wave therapy to promote healing. Footwear modifications and padding can also provide meaningful relief by reducing compression on the nerve.
Patients often benefit from a combination of conservative treatments, including physical therapy and activity adjustments, which can significantly reduce symptoms and help prevent recurrence. Our specialists work closely with each patient to develop a personalized treatment plan that addresses their specific symptoms, lifestyle, and goals, always beginning with the least invasive approach.
For patients with severe or persistent symptoms, advanced imaging techniques may be used to accurately assess the extent of nerve compression, allowing for more targeted and effective interventions. When conservative measures do not provide adequate relief, a minimally invasive procedure to decompress or remove the affected nerve tissue may be recommended. To explore the full range of treatments we offer, visit our podiatry services page.
Symptoms of Neuromas:
- Sharp, burning pain in the ball of the foot
- Tingling or numbness in the toes
- Feeling of a pebble in the shoe
Treatment Options:
- Custom orthotics
- Cortisone injections
- EPAT therapy
- Surgery (if necessary)
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Frequently Asked Questions
What is a neuroma?
A neuroma is a painful thickening of nerve tissue, most often occurring between the third and fourth toes in a condition called Morton’s neuroma. It develops when the nerve becomes irritated or compressed, causing burning pain, tingling, or numbness in the ball of the foot.
What causes Morton’s neuroma?
Morton’s neuroma is commonly caused by anything that compresses or irritates the nerve, including tight or narrow shoes, high heels, repetitive high-impact activity, and foot deformities such as bunions or hammertoes that change how pressure is distributed.
What does a neuroma feel like?
Many patients describe the sensation as a sharp, burning pain or the feeling of standing on a pebble or bunched-up sock. It may be accompanied by tingling or numbness in the toes, and symptoms often intensify with walking or wearing tight shoes.
Can a neuroma be treated without surgery?
Yes. Most neuromas respond well to conservative treatments such as custom orthotics, footwear changes, cortisone injections, padding, and EPAT therapy. Surgery is reserved for cases that do not improve with these non-invasive options.
What happens if a neuroma is left untreated?
If left untreated, a neuroma can worsen over time, leading to chronic pain and potentially permanent nerve damage. Early evaluation and treatment greatly improve outcomes and reduce the likelihood of needing surgical intervention.
How is a neuroma diagnosed?
Your podiatrist diagnoses a neuroma through a physical examination, a review of your symptoms, and specific pressure tests. In some cases, advanced imaging such as ultrasound or MRI is used to confirm the diagnosis and assess the severity of nerve compression.
What shoes are best if I have a neuroma?
Choose shoes with a wide toe box, low heels, and good cushioning to minimize pressure on the affected nerve. Avoid tight, pointed, or high-heeled footwear. Custom orthotics can further relieve pressure and improve comfort throughout the day.