Do you have questions about foot care? We have answers.
Do you have questions about foot injuries or the causes of foot pain? Tanglewood Foot Specialists provides the answers to frequently asked questions (FAQs) about foot injuries and foot care. If you would like to schedule an appointment to talk to a doctor about your foot pain, call Tanglewood Foot Specialists at (713) 785-7881.
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Can shockwave therapy cure my neuroma?
Shockwave therapy is a newer treatment for different forms of inflammation. It is commonly used to treat resistant heel pain caused by plantar fasciitis or Achilles tendonitis. The two most common forms of shockwave therapy is Extracorporeal Shockwave Therapy (ESWT) and Extracorporeal Pulse Activated Therapy (EPAT).
Shockwave therapy can be used to treat pain from a Morton's neuroma, although it is not as commonly used as it is for heel pain and tendonitis. The therapy would serve to eliminate the inflammation of the neuroma which will control the pain. It does not, however, eliminate the neuroma itself. It is possible that the inflammation can return with time and a custom orthotic should be used to help to minimize the continued pressure on the nerve.
If you feel that you want to use a safe treatment with no need for medication, injections, or anesthesia, then EPAT is the right choice for you. Contact your podiatrist in Houston to schedule an appointment.
Do neuromas come back after surgery?
Nerves are unable to regenerate, which is why spinal cord injuries that lead to paralysis are permanent. Because of this, the portion of nerve that is removed in surgery for a Morton's neuroma does not heal together or regenerate. It is also why the surgery to remove a Morton's neuroma leads to some numbness in the toes.
It is possible that a neuroma can form on the end of the nerve that is cut during the surgery. This is an infrequent complication known as a stump neuroma, which can cause a return of neuroma-like pain. The pain is often able to be controlled with conservative measures, such as cortisone injections, but sometimes require an additional foot surgery to correct.
Don't let that scare you away! Complications from neuroma surgery are extremely rare. While they do occasionally occur, they can be managed. The relief you'll most likely find with successful treatment for a Morton's neuroma will be swift and complete. Contact your Houston podiatrist today for an immediate appointment.
How does neuroma surgery work?
Neuroma surgery is one of the more straightforward foot surgeries there is. The neuroma is an inflamed swelling of the nerve. The surgery to correct a Morton's neuroma involves identification and removal of the swollen piece of nerve.
Because the enlarged portion of the nerve is removed, the pain associated with the neuroma is eliminated. In many cases the patient realizes this improvement soon after the surgery. After surgery, the patient is able to bear weight on the foot immediately, in most cases.
Don't let surgery scare you away. Like most surgeries it is a last resort. Neuroma surgery, when indicated and performed, is one that is very successful. Contact your Houston podiatrist to schedule an appointment to evaluate the pain in the ball of your foot and recommend the best treatment for you.
Is there anything other than medicine or a cortisone shot that will help relieve a neuroma?
While anti-inflammatory medication, whether oral or a cortisone injection, is often helpful to reduce the pain of a Morton's neuroma, there are other treatments that are also effective. A series of sclerosing injections are useful in shrinking the neuroma, not only addressing the inflammation. These injections utilize dehydrated alcohol to accomplish this. While many patients do respond to this treatment, there are always some that do not.
Because the inflammation of a neuroma is caused by pressure on the nerve, relieving that pressure helps the inflammation to resolve. Incorporating metatarsal support into a custom orthotic device is the best way to achieve this. The metatarsal support allows the metatarsal bones to spread apart and reduce or eliminate the pressure on the nerve. In most cases, the orthotic will be used in combination with another treatment
Not all treatment options are right for everybody. Be sure to contact your podiatrist in Houston to schedule an appointment. The doctor will be able to provide you with the appropriate recommendation.
Can you see a neuroma on X-Ray or MRI?
A neuroma is an inflammation of a nerve in the ball of the foot. Because the nerve is composed of soft tissue, it is not visible on X-ray. X-ray is useful to image bone and does not provide much diagnostic benefit for a Morton's neuroma. Even so, your podiatrist in Houston will likely order an X-ray to be taken, since it is important to rule out other issues, such as a stress fracture.
An MRI is very useful in imaging soft tissue structures, such as neuromas. An MRI is not always necessary if the clinical evidence for a neuroma is overwhelming. In fact, an MRI can produce a false negative for Morton's neuroma, meaning not finding one even if a neuroma is present. This happens when the neuroma falls between the "slices" that the MRI takes.
Can ibuprofen stop a neuroma from hurting?
In most cases your pain associated with a Morton's neuroma is due to inflammation of the nerve traveling through the ball of your foot. Because of this, an anti-inflammatory medication, such as ibuprofen or naproxen, can help to control your pain. This medication can reduce the inflammation surrounding the nerve and stop the neuroma from hurting.
When OTC medication is not enough to manage your neuroma pain, your podiatrist in Houston can take additional steps to relieve the pain that the neuroma is causing. Prescription strength anti-inflammatory medication will be more effective to reduce the inflammation and eliminate the pain. There are many other treatments to stop the Morton's neuroma from hurting as well, including cortisone injections.
Don't let ball of foot pain caused by a neuroma stop you from the things you love to do. If medication does not help quickly and completely, be sure to contact our Houston office for a comprehensive evaluation.
What is a Mortons Neuroma?
A Morton’s neuroma is an enlargement of the nerve that travels between your metatarsal bones in the foot. The most common location on the foot to form is between the third and fourth toes. Most people with a Morton's neuroma feel a burning or stabbing pain in the ball of their foot. Some people also feel numbness in their toes.
During the normal course of walking, the nerve receives pressure from the bones on either side of them. This causes the nerve to enlarge and become inflamed. The inflammation is responsible for the discomfort. Because shoes, expecially women's dress shoes, can put more pressure on the ball of the foot, many people find that the pain is worse when wearing theses shoes. They also notice a relief of their pain when they take off their shoes or wear a more open sandal.
If you have been feeling a burning or stabbing pain in the ball of your foot or numbness in your toes, you do not have to stay in pain! Contact Houston podiatrist Dr. Andrew Schneider at Tanglewood Foot Specialists for a comprehensive evaluation.
Why do tight shoes hurt my Morton's neuroma?
A Morton’s neuroma is formed when your metatarsal bones compress the nerve that runs between them. This pressure also causes your nerve to inflame and become painful. Wearing tight shoes causes the bones to push in even closer together and increase the pressure on the nerve. This, in turn, creates more inflammation and pain to form.
In my Houston podiatry office, my first recommendation to those I see with a Morton’s neuroma is to switch to shoes that have a wider toe box in order to reduce the extra compression on your nerve. You will be amazed how effective this simple recommendation is in reducing your pain.
If you are unable to wear you favorite shoes because of the pain it puts you in, contact Houston podiatrist Dr. Andrew Schneider for a comprehensive evaluation. Bring those cute shoes with you....chances are you'll be back in them quicker than you'd expect!
Does a cortisone shot cure a Mortons neuroma?
A common treatment for a Morton’s neuroma is a cortisone injection. Cortisone is a steroid that workds as an anti-inflammatory that is injected around the nerve that is inflamed. This quickly manages your inflammation to reduce or eliminate the pain. While a cortisone injection can eliminate the painful inflammation, it does not eliminate the neuroma itself.
In cases when a cortisone injection eliminates your inflammation and pain, it is useful to use a custom orthotic to stabilize your foot, support the metatarsal arch, and help to keep the pressure away from the nerve. This combination of a cortisone injection and mechanical control are most useful in treating the neuroma long term.
If you have persistent pain in the ball of your foot or are experiencing numbness in your toes, you might have a neuroma. Contact Houston podiatrist Dr. Andrew Schneider for a comprehensive evaluation to ensure that the source of your pain is identified and managed.
Is surgery always needed for a Mortons neuroma?
There are many conservative treatments that are successful to treat a Morton's Neuroma. We reserve surgery to be a last resort for when conservative treatment does not relieve the pain associated with the neuroma. In my years as a Houston podiatrist I can estimate that approximately 30% of my patients with a neuroma do end up with surgery.
Conservative treatment includes anti-inflammatory medication, cortisone injections, sclerosing alcohol injections and custom orthotics. When surgery is indicated, it is usually performed with great success. The reason for this is that the neuroma itself is surgically removed. Since the inflamed section of nerve is removed, the associated pain resolves quickly thereafter.
If you have suffered with pain from a Morton's neuroma, but have been nervous to come into our Houston podiatry office because of a fear of surgery, you can relax. In most cases we don't consider surgery as an option until we pursue non-surgical treatment first. Contact Tanglewood Foot Specialists to schedule an apointment with Dr. Andrew Schneider.