Pain between your toes, typically between the third and fourth toes, may be caused by a benign growth of nerve tissue called a neuroma. They can also appear in the ball of the foot. Foot neuromas are characterized by tingling, numbness or a burning sensation.

Individuals with a foot neuroma often experience pain between the toes when walking. The sensation can feel like walking with a pebble in your shoe. When you stop walking and rub the sore area, you may find relief from the pain. Neuromas are more common in women than men.

Since neuromas tend to get worse when they are not addressed, it is best to seek medical attention as soon as you feel pain or discomfort. After a thorough examination of the area, your doctor will recommend a course of treatment. The most effective options will depend on the severity of the neuroma. Early intervention can eliminate the need for surgical intervention.

If the neuroma is undeveloped and in its early stages, symptoms may be relieved by wearing thick-soled shoes with room for your toes to move. This relieves pressure on the area containing the neuroma. Orthotics may also be prescribed to help control foot function and reduce symptoms. They may also help prevent the condition from getting worse.

You may be advised to take anti-inflammatory drugs to help with pain and inflammation. Cortisone injections may be recommended when the pain is severe.

When a neuroma does not respond to noninvasive treatment options, surgery may be necessary. The surgical procedure removes the enlarged nerve. If you need surgery, your doctor will explain in detail how the procedure works and what you can expect in terms of recovery time and outcome.

Causes

At this time, the exact cause behind the formation of a neuroma is unknown; however, there are certain factors that can lead to the condition. These include:

• A foot type that promotes instability around the toe joints, such as a very high arch or flat foot.
• Nerve damage caused by trauma.
• Shoes that cause the toes to be squeezed together. Heels higher than two inches increase pressure on the forefoot and can lead to a neuroma.
• Repetitive stress that puts pressure on the toes and ball of the foot. Certain occupations are more likely to lead to the development of a neuroma.

When you have foot pain that is unresponsive to treatments you try at home, consult your doctor. Contact Dr. Stuart Mogul for expert foot and ankle care. Neglecting the pain you feel can lead to bigger problems. Schedule your appointment with Dr. Mogul today.