Pain in the forefoot, numbness, tingling, burning, cramping of the toes or a wadded sock type feeling, are all very typical symptoms of a neuroma. A neuroma is an inflammation/irritation of one of the nerves usually in the forefoot. Neuromas are most commonly thought to be caused by poor foot mechanics, high heeled shoes, unsupportive shoes or shoes that are too narrow. Diagnosis of a neuroma is accomplished by describing symptoms and a physical exam. Usually, an x-ray or diagnostic ultrasound would also be performed to confirm the diagnosis. Once diagnosed, neuromas can be treated conservatively with stretching, icing, NSAIDs, foot orthotics, shoe recommendations and steroid injections.
If these treatments do not improve the neuroma symptoms, then a series of injections using a diluted ethyl alcohol (sclerosing injection) on the nerve can be considered. Sclerosing injections are known to be up to 89% effective. These injections are given every 5-14 days in a series of 3 to 7 injections. This injection series basically stops the nerve from working. If effective, the sclerosing injection series will cause a numbness in the area of the injection and in the toes above it. This is a great option for treatment of neuromas. If effective, it produces the same result as a surgical excision of the neuroma without the surgical recovery or down time.
Please call us for an appointment today if you are experiencing any of the above symptoms: 610-434-7000.
Dr. Baker received her undergraduate Bachelor of Science degree in biology and natural science at Muhlenberg College, Allentown, Pennsylvania. She graduated with honors, Cum Laude and was granted her Doctor of Podiatric Medicine degree from Temple University School of Podiatric Medicine in May of 2000. She completed her residency training for foot and ankle surgery in Philadelphia at Tenet Parkview Hospital. Dr. Baker is Board Certified in foot surgery by the American Board of Podiatric Surgery and is a Fellow of the American College of Foot and Ankle Surgeons. Dr. Baker is also trained in the treatment and prevention of diabetic foot complications and is a Fellow of the American Professional Wound Care Association.