by Dr. Joel W. Brook
Dr. Joel Brook is a board-certified podiatrist and foot and ankle surgeon at Dallas Podiatry Works in TX.
“Hi, I’m Dr. Brook. We’re going to talk to you today a little bit about neuromas. Neuromas are inflammations of nerves, typically occurring in the front part of the foot, or the forefoot. There are several nerves, responsible for providing innervation to the toes. A neuroma typically occurs with the nerve that goes between the third and the fourth metatarsal bone.
In all, treatment of neuromas is a very effective therapy, and we are happy to share those with you.
Neuromas are formed by irritation of the nerves affecting the toes. The nerves run in small, anatomic spaces, so they are easily irritated. Once irritated, scar tissue forms around the nerve, thereby enlarging the nerve and making it more prone to continued and repetitive injury.
Neuromas typically occur spontaneously. There are times when they can occur in response to either direct trauma, or the trauma occurs from repetitive injury to the nerve from running or jumping.
There are several treatment options we have for treating neuromas, which typically respond well to conservative care. The first treatment involves the use of anti-inflammatory medications, both oral and injectable. Those can both be very effective. We can also offload the region using orthotics or different types of pads to help take pressure off of the region. Should those measures not be effective, we have another therapy available to us. This involves the use of nerve ablation therapy, with the NeuroTherm machine. This is a simple, in-office procedure providing effective relief in 70-80% of the cases. As a last resort, we can use surgical intervention to help treat neuromas. This is really not done very frequently, but this typically involves removal of the affected nerve.
If there are any issues or questions you have, please feel free to call us. Thank you for being our patient, and we are honored to be part of your health care team!”