Morton’s Neuroma – Transcription of Video by Dr. Mark Green
Morton’s Neuroma – Hi, I’m Dr. Mark Green with Kansas City Foot and Ankle. Do you have shooting pain or tingling on the bottom of your foot and into the toes? Does it feel like you have a wadded up sock under your toes? These nerve-like symptoms are classic indications that you may have a condition called a Morton’s Neuroma.
A neuroma is an irritated nerve on the bottom of your foot. It usually occurs between the third and fourth toes, but may also occur between the second and third toes. The cause of neuromas is usually a slight abnormality in the way your foot is functioning. If your foot isn’t quite as stable as it should be, in other words, if your arch flattens more than it should, then the bones on either side of the nerve rub up against the nerve, irritating it. Neuromas tend to be more painful with tighter shoes and high heels. As the nerve becomes more irritated and inflamed, it tries to protect itself by building up scar tissue around itself, so it actually gets larger, making it easier for the bones to rub against it. It becomes a progressive condition. The symptoms begin to occur more often, or the pain worsens with time.
The first step treating it is to get the inflammation under control. This will help alleviate the pain. Sometimes a cortisone injection can help, but for long-term pain relief, I recommend a simple, in-office treatment called Cryoanalgesia.
Cryoanalgesia is a minor procedure where very cold temperatures are applied to the nerve in order to decrease its ability to send pain signals. Secondly, we address the cause of the problem by eliminating the instability in your foot that is causing irritation to the nerve. This is accomplished with custom-molded shoe inserts called orthotics. Orthotics keep your feet properly supported and functioning the way they’re supposed to. In some really advanced cases, we may need to perform an outpatient surgical procedure to relieve your symptoms.
So what are you waiting for? You don’t have to live with foot pain. Call Kansas City Foot and Ankle today, and get back to your activities quickly and comfortably.