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Services / Neuroma


What is a neuroma?
A neuroma is a painful growth of nerve tissue in the foot, most often between the third and fourth toes. It generally forms when the bones in the feet press together and irritate the nerve. This may be caused by wearing tight or poorly fitting shoes, or by repeated stress or trauma to the foot. Often times there will be a pair of shoes or high heels which caused the initial problem.

SYMPTOMS
Most people say that they feel a sharp, burning pain in the ball of the foot, especially when walking or running. Other people report numbness or tingling between the toes. Some even say that it feels like there is a stone or pebble in the shoe. When the neuroma becomes large the toes may even look like they are spreading apart!

TREATMENT
Treatment can vary from the conservative to surgical. Often times reducing the symptoms is enough. Various treatments can include
• shoe changes and orthotics
• padding or taping
• physical therapy
• medication.
If these simple treatments do not produce a desired effect then surgery is an option.

Injections and Surgery
DIRECT REMOVAL- this is accomplished via an incision of the top of the foot, the nerve is identified and then removed. This ensures that the damaged part of the nerve is gone and the pain is removed along with it. Patients will have some residual numbness associated with this procedure as a trade-off for pain relief.

INJECTIONS. Cortisone can be used to shrink the nerve. This works extremely well.

SCLEROSING- This is achieved using an alcohol solution. The denatured alcohol is injected into the nerve. This causes the body to resorb or remove the nerve without an incision. This is done in the office and requires approximately 6 weekly injections. The beauty of the treatment is that there is no down time. Patients can resume all activities.


Austin Podiatry provides treatment for a variety of conditions, including:

  • Diabetic care
  • Geriatric foot care
  • Laser Toenail Treatment
  • PRP(platelet rich plasma) injections
  • Sports medicine
  • Trauma-Surgery
  • Achilles tendonitis
  • Warts
  • Wound Care
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