Neuroma pain

metatarsalgia is experienced almost exclusively during weight bearing and is relieved by rest.

Symptoms

The symptoms are a burning, tingling, numbing, and/or pins-and-needles sensation.

Neuroma pain is distinguishable from simple structural foot pain by the fact that it is constant and not relieved by rest.

Diagnosis

Diagnosis is based on the history and physical examination. The complaint of unremitting pain in the interspaces of the foot is highly suggestive. Palpation of the space reproduces, sharp, stabbing pain, as does compression of the interspaces produced by squeezing the forefoot circumferentially.

Simple metatarsalgia can be ruled out by a trial of shoe inserts to pad the metatarsals. Neuroma pain will rarely respond to those orthotics alone.

Treatment

Intractable neuroma pain in the intermetatarsal space unresponsive to shoe pads requires surgical treatment. Treatment consists of excision of the nerve through a longitudinal incision in the dorsal web space. Many patients describe dramatic relief of symptoms immediately after surgery.

Questions To Ask Your Doctor

Is it a neuroma?
Where is it located?
What is the probable cause?
What can relieve the pain?
Would shoe inserts help?
Is surgery indicated?

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Neuroma pain