If you’ve ever felt a terrible pain in the ball of your foot, almost like you have a small rock in your shoes, you may have Morton’s neuroma.
Typically felt in the area between the third and fourth toes, Morton’s neuroma is the thickening of tissue surrounding one of the nerves that lead to your toes. The pain you experience can feel like a sharp, stinging, burning, or numb sensation.
Some options for Mortons neuroma treatment are very simple, but a more severe condition may need medical intervention. The following are several treatment options that are available.
A Change of Shoes
Oftentimes the development of Morton’s neuroma can be caused by wearing high-heeled shoes, so many patients have found relief simply by switching to lower-heeled or flat shoes with wider toe boxes. If regular, lower shoes don’t work, you might consider trying medical grade orthotics to provide the proper cushioning and support.
Physical therapy is an option that shouldn’t be overlooked. With proper training by a physical therapist, you can do stretches and exercises for your toes and ankle that will increase flexibility and minimize the effects of your condition. Massage can also be used to relax the foot and offer relief.
Medication alone is often not enough to treat the problem, but medications can reduce inflammation and alleviate the pain enough to allow a patient to continue with the necessary exercise and physical therapy. Options are Tylenol (acetaminophen) and NSAIDs like Advil (ibuprofen), and Aleve, as well as advanced COX-2 inhibitor NSAIDS like Celebrex.
Some alternative choices are also available, such as certain antidepressants that have shown effectiveness in reducing pain, like Duloxetine or Cymbalta. Nerve pain may also be helped by anticonvulsant medications like Gabapentin or Lyrica. In cases of pain which doesn’t respond to other medications or is sporadic and extremely severe, some opioids may be considered, such as Tramadol or morphine-related narcotics. However, this is as a last resort medication, as these prescriptions can have significant side effects, and can be addictive.
If medications combined with physical therapy and a change of shoes doesn’t provide enough relief, interventional therapies may be necessary. Less-invasive treatments should be a patient’s next step in their journey. These treatments, done under ultrasound guidance, can be done on an outpatient basis and are very effective for many patients.
Less-invasive options include:
- Corticosteroid injections
- Neurolytic injections
- Platelet rich plasma injections
- Radiofrequency ablation
- Cryotherapy ablation
- Stem Cell Therapy
As a final option, you may consider surgery. However, patients exhaust all non-invasive and less-invasive treatments before considering surgery for Morton’s neuroma. Surgery should always be the last resort.
The Center for Morton’s Neuroma offers all of the above therapies, with the skill and expertise you can expect from a clinic that focuses all its time and attention on this condition. Because of this full-time dedication to treating Morton’s neuroma, no other center can offer such a wide array of treatments available for this condition.
For more information about Mortons neuroma treatment and your medical options, go to www.mortonsneuroma.com.