Neuropathy & Neuroma Specialists

01

What Is Neuropathy?

Neuropathy refers to damage or dysfunction of the peripheral nerves, resulting in symptoms such as pain, tingling, numbness, or weakness, typically in the hands and feet. When neuropathy affects the feet, it can lead to a loss of sensation, increasing the risk of unnoticed injuries, infections, and balance issues. The most common type is diabetic neuropathy, which occurs as a complication of poorly controlled diabetes, but neuropathy can also arise from other underlying causes.

Common Causes of Neuropathy

Diabetes: High blood sugar levels over time can damage nerves, particularly in the feet.
Lumbar Radiculopathy: Nerve root compression in the lower spine can cause radiating pain, tingling, or numbness in the feet and legs.
Injuries or Trauma: Nerve compression or injury from accidents or repetitive motion can lead to neuropathy.
Nutritional Deficiencies: Lack of vitamins, especially B vitamins, can contribute to nerve damage.
Alcoholism: Chronic alcohol use can harm nerves and lead to neuropathy.
Medical Conditions: Autoimmune diseases, infections, and kidney or liver disorders can cause nerve damage.
Certain Medications: Chemotherapy drugs and other medications may have neuropathy as a side effect.

Symptoms of Neuropathy

Tingling or burning sensations in the feet
Numbness or reduced ability to feel temperature or pain
Sharp, stabbing, or throbbing pain
Muscle weakness or difficulty walking
Increased sensitivity to touch (even light touch may feel painful)

Education and Prevention

Manage Underlying Conditions: For diabetic neuropathy, keeping blood sugar levels under control is crucial.
Protect Your Feet: Inspect feet daily for cuts, sores, or injuries that may go unnoticed due to reduced sensation.
Maintain a Healthy Lifestyle: Eating a balanced diet, avoiding excessive alcohol, and exercising regularly can improve nerve health.
Wear Proper Footwear: Shoes that fit well and provide adequate support can prevent pressure points and injuries.

Treatment Options for Neuropathy

Medications:
Pain Relievers: Over-the-counter or prescription medications can help manage discomfort.
Often for a comprehensive evaluation of nerve function and more specialized management, a referral to a neurologist is recommended
Topical Treatments: Capsaicin creams or patches and even custom tailored compound creams may help alleviate localized nerve pain.

Lifestyle and Physical Therapies:

Exercise: Regular, low-impact exercise improves circulation and helps maintain nerve function.
Physical Therapy: Strengthening and balance exercises can prevent falls and improve mobility.

02

What Is a Neuroma?

A neuroma is a painful condition caused by the thickening or enlargement of a nerve, typically due to irritation, compression, or trauma. The most common type is Morton’s neuroma, which affects the nerve between the third and fourth toes. This condition often results in a sharp, burning pain in the ball of the foot, tingling, or a sensation of having a pebble or lump in your shoe.

Common Causes of Neuromas

Improper Footwear: Tight, narrow shoes or high heels can compress the toes and place excess pressure on the forefoot, leading to nerve irritation.
Repetitive Stress: High-impact activities such as running or sports that involve repetitive pressure on the ball of the foot can contribute to neuroma formation.
Foot Deformities: Conditions like bunions, hammertoes, or flat feet can create abnormal pressure points, increasing the risk of neuromas.
Injury or Trauma: Direct trauma to the foot can damage or irritate the nerves, leading to neuroma development.

Symptoms of a Neuroma

Sharp, burning pain in the ball of the foot that may radiate to the toes.
Tingling or numbness in the toes.
A feeling of having a pebble or object under the ball of the foot. Patients often describe feeling as if their sock is rolled up under their foot.
Pain that worsens with activity, tight shoes, or prolonged standing and improves with rest or removing footwear.

Education and Prevention

Wear Proper Footwear: Choose shoes with a wide toe box, good arch support, and cushioning to reduce pressure on the forefoot.

Modify Activities: Reduce repetitive high-impact activities or wear supportive footwear during such activities to minimize stress on the forefoot.

Treatment Options for Neuromas

1. Conservative Treatments:

Padding and Orthotics: Custom orthotic devices or metatarsal pads can help relieve pressure on the nerve and provide support.
Footwear Modifications: Switching to shoes with proper support and cushioning can significantly reduce symptoms.
Ice Therapy: Applying ice to the affected area can help reduce swelling and relieve pain.
Anti-Inflammatory Medications: NSAIDs can help reduce pain and inflammation.

2. Medical Interventions:

Corticosteroid Injections: Injections can help reduce inflammation and relieve pain in more severe cases.

3. Surgical Options:

If conservative treatments fail, surgery may be necessary to remove the neuroma or relieve pressure on the affected nerve. This procedure typically provides long-term relief and allows patients to return to normal activities.