Morton’s Neuroma: When feet fight back | WTOP

Morton’s Neuroma: When feet fight back | WTOP

Medstar Washington Hospital Centre sponsors the following article.

Whether you're a pavement pounding runner, or a fashionista.

Whether you're a runner pounding the pavement, or a balancing fashionista on sky-high heels, your feet take a beating.

Their choice weapon is increasingly the neuroma of Morton—an otherwise harmless cyst that causes numbness, shooting, or burning pain in your foot ball.

It is the result of repeated nerve or nearby tissue irritation or compression, usually in between the second or third toe.

"Toes that are forced into a tight space for a long time are subjected to extra pressure, which then causes swelling and pain," explains John S. Steinberg, DPM, director of the Podiatric Residency Program at MedStar Washington Hospital Center and a practitioner.

"The same effect occurs after repeated high-impact activities, including years of wearing high heels. Unfortunately, even minor pain can cause you to limp or change your gait, which leads to other problems because your natural walking mechanics are all off." Take over-the-counter anti-inflammatory drugs to reduce swelling.

Soak the sore foot with comfortably hot and cold water in alternating baths.

Wear full-length, OTC arch has a solid shell to support.

Give your feet a break from high heels and high impact activities.

Foot specialists typically prescribe cortisone or alcohol solution injections to reduce swelling if the problem persists; custom orthotics to correct foot mechanics and separate the toes; and/or physical therapy.

Surgery-once the standard approach-is reserved only for the most extreme cases, Dr Steinberg notes.

"Foot surgeons or plastic surgeons can now perform an external neurolysis that frees ligaments and tight tissue from around the nerve to create space." Dr. Steinberg offers some common-sense advice to avoid developing Morton's Neuroma in the first place.

"Change to better fitting shoes, so that the toes have the space they need and support."

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