Diabetic Foot Care Advice

The aim of this blog is to help members of the public to understand their feet better. However the information on this blog should never be regarded as medical advice. Readers with foot problems are strongly encouraged to visit their GP if not the podiatrist for further medical assessment and treatment.

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Sunday, November 25, 2007

Morton's Neuroma Treatment

Morton’s neuromas are caused by a thickening or irritation of the nerves of the foot. Morton’s neuromas often develop as the result of compression. They cause pain, burning, or tingling sensations of the third and fourth toes. This pain can be aggravated by wearing shoes that are too narrow, such as those with pointed toes.

Morton’s neuromas become progressively more painful. There are several treatment options. If left untreated, Morton’s neuromas can lead to permanent nerve damage. Therefore, it is important to see a physician and discuss the treatment options that are recommended.

One treatment option is to use padding or orthotic devices. Since Morton’s neuromas are caused by compression, the use of these non-invasive techniques is for the purpose of relieving sources of compression. Padding can be used to support the metatarsal arch which acts to alleviate the pressure on the nerve while walking. Orthotic devices work the same way, however they are often custom-made to provide the best arch support possible.

Any shoes worn by someone with a neuroma should have a wide toe. Using over-the-counter pain relievers, such as anti-inflammatory pain relievers (NSAIDs) can provide relief from the pain associated with Morton’s neuromas. The doctor may suggest that forms of exercise be restricted. Applying ice packs during flare ups can help reduce swelling if that has become a problem.

If non-invasive methods fail to provide relief, the doctor may subscribe a more drastic course of treatment. The doctor may first suggest a series of injections of a mixture of corticosteroids and anesthetics. If this therapy fails to provide relief, surgery may be recommended.

Surgery for Morton’s neuromas involves the removal of the neuroma. Since it removes the neuroma, it effectively treats the pain. However, the surgery often causes permanent loss of sensation to the treated area of the foot.

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