At early stages, metatarsal raise lessens pressure on the nerve, icing reduces swelling, over-the-counter anti-inflammatory medications decrease pain and inflammation and prescription or custom orthotic devices provide support to reduce compression.
Patients also are advised to wear wider shoes with low heels and to take a break from running or other activities until the condition improves. In severe cases, surgery might be the best option to provide relief. A foot and ankle surgeon can release or remove the affected nerve with an outpatient procedure. It relieves the pain, and there might be a loss of sensation in the area where the nerve provides feeling to the toe," said Nava.
This can include replacing worn out shoes or purchasing a shoe with a wider toebox to allow more space for the front part of the foot. This applies to your dress or business shoes as well as your athletic shoes. Another form of self treatment involves placing a spacer such as a cotton ball between the affected toes to remove pressure of the nerves. Other conservative treatment may include the use of metatarsal pads or orthotic devices to control any biomechanical problems such as overpronation.
Finally, if aggressive conservative treatment does not resolve your symptoms, and the pain is causing a modification of your normal activities, surgery may be recommended to remove the inflamed nerve.
As with any other injury, a careful diagnosis is necessary because other problems such as metatarsal stress fractures and metatarsal bursitis can sometimes mimic the symptoms of Morton's neuroma. If you have to wear high heels to meet with a client, for example, make sure that you always have a pair of flats nearby.
Avoid wearing high heels for the entire day. You might even be able to keep the shoes that you have now if you tie them differently.
If you want to put less pressure on your foot and widen the toe box, try this lacing technique. Finally, if you have to stand for long periods of time at work or home, get a cushioned anti-fatigue mat.
These staples of professional kitchens and bars relieve pressure on your feet. Wearing compression socks may also help. Loosening up your ligaments and tendons as well as massaging the ball of your foot can ease symptoms. These can help to ease pressure on the neuroma. Your doctor will be of great help to figure out what met pads are best for you. There are several different designs. With continued irritation, such as running up hills or running in shoes that are too tight, the swollen nerve can become more irritated and more inflamed.
When that happens the nerve will actually develop additional nerve endings in the region of swelling within the nerve and become a more chronic problem. I have seen many runners who developed a neuroma when they were far into their season and started doing hill repeats to gain strength and speed. I have seen other runners that actually developed a neuroma because they were cycling for cross training but their cycling shoes were really too tight.
Interestingly, I have also seen a couple of runners who developed a neuroma simply from stepping on one of their kids Legos when it was left on the carpet. Here are some of the most common mistakes I see runners make when they start to develop a neuroma in the ball of the foot. What I do hear from runners is that they will say that for a long period of time it felt like there was a wrinkle in their sock or something in the running shoe.
In most cases of course they found nothing because there was nothing wrong with their shoe or their sock. The problem is with the nerve at the ball of the foot.
At this point the nerve has a little bit of swelling surrounding the nerve. And that can lead to more permanent damage and chronic pain.
When nerves become irritated, they become over active and in response to all of this activity they can develop additional nerve endings.
So the nerves sprout little tiny nerve endings that have synapses which send chemical signals back and forth to talk to each other and when the lump in the nerve at the ball of your foot starts to develop these additional nerve endings which talk to each other all the time, you perceive that little conversation as pain. Burning, tingling, radiating pain or electrical sensations that start at the ball of the foot and shoot out into the second, third or fourth toes are the symptoms that actually bring runners into the podiatrist office.
Keep in mind, that once these burning tingling symptoms develop, the nerve has been irritated, compressed and damaged for a long period of time. The second mistake that runners seem to make this mistake when it comes to a neuroma in the ball of the foot, they misinterpret the pain as a stress fracture. A metatarsal stress fracture is likely the most common source of pain in the ball of the foot in a runner who is training for a marathon or any other long-distance race.
The problem is that a metatarsal stress fracture will heal fairly consistently and quickly if you simply decrease the amount of stress applied to the metatarsal bone. But that can mean a lot of different things. It can mean walking on a fracture walking boot or using crutches. It can also be as simple as decreasing the running volume. But no matter which treatment you choose to reduce the stress enough, the metatarsal stress fracture is going to heal. You have to think about the neuroma as a sore thumb.
Once it swells, it seems to get in the way of everything. The nerve may get even compressed under your body weight when you step on it because after all its swollen, it is larger. The nerve is swollen.
0コメント