Pain in the ball of the foot (Morton's neuroma)
One cause of a very common foot problem is the neuroma, a benign enlargement of a nerve commonly found between the base of the toes at the ball of the foot. Trauma, arthritis, high-heeled shoes, or other foot problems like bunions and hammer toes are associated with morton's neuromas. Symptoms such as burning, pain, or numbness to adjacent toes and even electrical sensations are felt by some people. There are several treatments for this common condition including shoe inserts, medications and injections. Traditionally, when these treatments have not helped, then surgery to remove the enlarged nerve is recommended. This is very successful surgery overall. But there are also two newer treatments that Dr. Young offers that have helped. If you have had symptoms of Morton's neuroma, pain in the ball of the foot or the toes, make a consultation. Dr Young is interested in relieving your pain and getting you back on your feet.
Two newer treatments:
When Morton's neuroma pain has not been helped with padding, medication and injections, there are two newer treatments available. One is an injection of a medication that actually shrinks and destroys the neuroma without surgery. This procedure has been offered for many years in Europe and is now available here. It is a series of injections that affect the neuroma by destroying it chemically. The second procedure is a ten minute surgery that releases the ligament that pinches the nerve. The neuroma then reduces in size back to the normal nerve over a period of a couple months. It is a healthier approach by leaving the person with the nerve and sensation between the toes.
Pain in the ball of the foot (capsulitis)
Often seen in women who wear high heels, the joint of the second or third toe can become very painful, sometimes swollen. By changing the shoes, taking over the counter anti inflammatory medicine, sometimes the pain will resolve. But when it does not go away, it is important to come to the office. Other diagnoses must be ruled out. . Diagnostic ultrasound and xrays to assess if there is serious damage to the joint. When there is capsulitis of the second toe joint that does not go away, there is a possibility of the tear in the joint that can lead to hammer toe deformity. Our treatments will include special padding to take the pressure off the foot. Physical therapy including ultrasound treatments may be prescribed. For some people, it is necessary to have an injection of an anti inflammatory medication given right where it is needed. Before treatment, careful evaluation of the joint and the capsule is performed.
