Neuroma
Neuroma, also known as Morton’s neuroma, causes foot pain characterized by electric shocks and numbness in the toes. This condition results from nerve thickening between the toes due to compression or friction, leading to inflammation and sensations such as burning or small electrical discharges in the toes.
Symptoms of Neuroma
Neuroma produces various uncomfortable sensations in the foot without visible signs. Common symptoms include numbness and tingling in the toes, burning sensation in the forefoot, feeling like a bunched-up sock under the toes, small electrical shocks, and toe cramps. These symptoms worsen with prolonged standing or wearing narrow shoes.
The condition can interfere with daily activities such as putting on shoes, walking (often resembling having a pebble in the shoe), bicycling, and pressing the accelerator pedal. Any activity applying foot pressure can become difficult.
Causes of Neuroma
Neuroma is more common in women, though the exact cause remains unknown. Podiatrists identify several contributing factors including wearing inappropriate footwear (tight, ill-fitting, or high heels), flat feet, abnormal toe positions, bunions (Hallux abducto valgus), and hammer toes.
Preventing Neuroma
Although neuroma cannot always be prevented, choosing proper footwear can reduce risks and prevent recurrence. Appropriate shoes should have low heels, provide enough space for the toes, and properly support the foot arch. Avoid high heels and narrow shoes to minimize nerve pressure.
Podiatry Treatment for Neuroma
If you suspect Morton’s neuroma, consult a podiatrist for a diagnosis that includes palpation and Mulder’s test. Diagnosis may be confirmed through ultrasound, MRI, or X-rays to rule out other causes.
Treatment options include wearing orthoses to relieve nerve pressure, applying ice for pain relief, and cortisone injections to reduce nerve swelling. In severe cases, surgery might be necessary.