A neuroma is a benign growth of nerve tissue between the toes.  Usually occurring between the third and fourth toes, it is sometimes referred to as a pinched nerve or a nerve tumor.


While the cause of a neuroma is not certain, there are contributing factors that lead to its formation.  They include having a flat foot, a high arch, or abnormal positioning of the toes; trauma to the nerve; improper footwear; and repeated stress.  Women are more apt to have a neuroma than men.


A neuroma is characterized by pain, tingling, numbness, or a burning sensation between the toes and in the ball of the foot.  There may be swelling between the toes.  Pain may increase with weight-bearing activities and the wearing of shoes.  It may get worse over time.


Dr. Burmeister will be able to diagnose a neuroma by getting a complete history of your symptoms and by doing a thorough examination of your foot.  He may also order an x-ray, MRI, or ultrasound to fully diagnose the condition.  Other tests may be conducted to rule out underlying conditions.


Early treatment may involve wearing thick-soled shoes with a wide toe box as well as resting the foot, massaging the area, and using ice packs to relieve pain.  Other nonsurgical options include padding and taping the area; orthotics; anti-inflammatory medications; corticosteroid injection; and physical therapy.  When early treatments do not help the condition, surgery to remove the affected nerve may be an option.


Preventing a neuroma is all about the shoes.  They should be roomy enough so that your toes are not overly compressed.  There should be padding for the ball of your foot.  High heels as well as other shoes with narrow toe boxes should be avoided.

If you experience the symptoms of a neuroma, Dr. Jeffrey Burmeister, DPM, and his experienced staff are ready to fully diagnose, treat, and see you on your way to pain-free living.  Schedule an appointment by calling (904) 765-8889 or by completing an online appointment request at .