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If you have pain, discomfort or swelling in the ball area of your foot, you may be suffering from Morton’s neuroma, a condition that affects the nerves in this area of your foot. In severe cases, you need neuroma surgery to correct this condition. Visit an NYC foot doctor if you’re experiencing pain in the ball of your foot. After a thorough examination and definitive diagnosis, your midtown podiatrist can tell you if surgery is an option.
When you’re suffering with a neuroma, you feel pain on the bottom of your foot, under your third and fourth toes. Neuroma pain can range from stinging and sharp to mild and dull. Additionally, you may experience a numbing sensation. Typical complaints include the feeling of walking on a pebble or stone or the feeling that your sock is rolled up under your toes. You also may complain of more severe pain when you walk barefoot.
If you’re unsure whether you have neuroma, make an appointment with a midtown podiatrist Dr. Jennifer McCoy. Only a podiatric doctor or a foot specialist can make a definitive diagnosis. The causes of neuroma, however, may tell you if you have it.
Neuroma develops from many different sources, but poorly fitting shoes is the most common cause. Excess pressure on your toes and repetition of an activity with the ball of your foot are both common causes of neuroma. Genetic factors and heredity are also potential causes of neuroma. Other conditions linked to neuroma include:
Other causes include a thinning of the pad that covers the ball of your foot, which adds pressure on the nerves. Tightly fitting shoes, such as high heels and pointy-toed shoes, can all add to the pain of neuroma by putting pressure on the ball of your feet. Neuroma doesn’t always just form over time; it can also occur suddenly.
When to See Your Podiatrist
Visit your foot doctor or podiatric specialist in NYC if the ball of your foot becomes really painful, disrupting your ability to walk or do other activities that revolve around mobility. If you find it difficult to put shoes on, make an appointment to see your podiatrist in midtown NYC to get relief.
If you notice swelling in the ball area of your foot, see if icing your foot helps. If you’ve developed calluses or corns, you can find home-care treatments. But if home care doesn’t work or you have other, unexplained pain in the ball of one or both feet, these may be indicators to see a foot doctor. Your podiatrist can recommend a wider range of treatment options if you catch in early in the growth cycle.
Treatments for Neuroma
Your podiatric doctor considers many factors like your general health, heredity, your symptoms and the severity of your neuroma to determine the course of treatment. There are non-surgical treatments for neuroma, as well as surgical procedures to treat it. Most conservative treatments are directed at eliminating or decreasing your pain and symptoms. For example:
- Using inserts or arch supports
- Wearing proper fitting shoes with good support
- Modifying your activities to reduce stress on the ball of your feet
- Wearing wide shoes that give your toes more room
- Wearing shoes with additional cushion
- Losing weight to reduce pressure on balls of the feet
Your foot doctor may recommend or prescribe non-surgical treatments such as:
- Physical therapy
- Oral anti-inflammatory medication
- Orthotics, custom supports made from a mold of your feet
- Cortisone injections
- Protective pads to prevent irritation from friction
- Sclerosing injections, an alcohol injection that limits the nerve’s ability to detect and communicate pain
Surgery for Neuroma
Neuroma surgery is performed while you are under a general, regional or local anesthetic. The most common forms of anesthesia used in neuroma surgery are local and regional. This basically means your foot’s numbed while you get sedation that relaxes you during the surgery.
The surgery then moves forward. It typically involves removing the affected nerve mass that’s creating pain in the ball of your foot. Your midtown Manhattan podiatrist or surgeon makes an incision on top of your foot and carefully removes the nerve. Your foot doctor has to remove this nerve back far enough so that it doesn’t affect the ball of your foot.
Another type of surgery involves surgically releasing the ligament that holds the nerve within it. Generally, this is an alternative method and isn’t as effective as the nerve removal surgery described above.
Neuroma Surgery Risk Factors
When you discuss surgical options with your foot doctor, he will convey all the risks associated with the neuroma surgery procedure. There are risks of complications from any type of surgery and from the use of anesthesia. You should be aware of the potential risks and complications before undergoing surgery. The most common neuroma surgery risks include:
- Pain, either permanent or temporary
- Hematoma or temporary bruising
- Blood clots
- Poor healing of your bones and wound
- Nerve injury
- Recurrence of neuroma
- A toe deformity, like hammer toe
- Foot weakness
- Your toe is shorter than it used to be
- A need for additional surgery
- A catastrophic event like the loss of a toe
Recovery from Neuroma Surgery
Neuroma surgery is usually an outpatient procedure, meaning you can return home the same day. So remember that you need someone to accompany you to your surgery because you can’t drive yourself home after the procedure.
Consult your NYC foot doctor for your specific recovery time, but generally, recovery from neuroma surgery is relatively quick. You’re able to walk on your affected foot using a post-surgical shoe or boot for two to four weeks after surgery. You can return to normal shoes after three to six weeks. Healing may be prolonged by factors such as smoking, age, poor nutrition, or other medical problems.
Important Reminder: This information is only intended to provide guidance, not a definitive medical advice. Please consult foot doctor about your specific condition. Only a trained, experienced board certified podiatrist or foot specialist can determine an accurate diagnosis and proper treatment.
Do you have any questions about Neuroma Surgery procedure in NYC? Would like to schedule an appointment with an internationally recognized, top NYC Podiatrist and foot doctor, Dr. Jennifer McCoy of Manhattan Foot Specialists, please contact our office for consultation.
Dr. Jennifer McCoy, Podiatrist (NYC Foot Doctor)
New York, NY 10010
(Between Madison Ave & Park Ave)
☎ (212) 687-2930