Clinton Foot & Ankle Clinic, PC

1671 W. Michigan Avenue Suite C-1 Clinton, MI 49236

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Toll Free Number

1-855-825-4022

Phone: (517) 456-4114

Toll Free Number

1-855-825-4022

Phone: (517) 456-4114

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    • Bone/Joint/Tendon
      • Accessory Navicular Syndrome
      • Achilles Tendon Rupture
      • Ankle
        • Ankle Arthritis
        • Ankle Fractures
        • Ankle Pain
        • Ankle Sprain
        • Swollen Ankles
        • Tarsal Coalition
        • Tarsal Tunnel Syndrome
        • Weak Ankles
      • Arch Pain
      • Arch Supports
      • Bone Healing
      • Bone Infection
      • Bone Tumors in the Foot
      • Brachymetatarsia
      • Bunions (Hallux Abducto Valgus)
      • Bursitis
      • Calcaneal Apophysitis (Sever's Disease)
      • Calf Pain
      • Capsulitis of the Second Toe
      • Cavus Foot (High-Arched Foot)
      • Charcot Foot
      • Chronic Ankle Instability
      • Clubfoot
      • Cold Feet
      • Common Disorders of the Achilles Tendon
      • Drop Foot
      • DVT (Deep Vein Thrombosis)
      • Extra Bones
      • Fallen Arches
      • Fifth Metatarsal Fracture
      • Flatfoot
        • Flatfoot-Adult Acquired
        • Flatfoot-Flexible
        • Flatfoot-Pediatric
      • Foot Arthritis
      • Foot Drop
      • Fracture
        • Foot Fracture
        • Fracture-Ankle
        • Fracture-Foot
        • Fractures of the Calcaneus (Heel Bone Fractures)
        • Fractures of the Fifth Metatarsal
        • Fracture-Toe
        • Jones Fracture
        • Stress Fracture in the Foot
        • Toe and Metatarsal Fractures (Broken Toes)
      • Gangrene
      • Gout
      • Haglund's Deformity
      • Hallux Rigidus
      • Hammertoes
      • Heel Pain (Plantar Fasciitis)
      • High-Arched Foot
      • Intermetatarsal Neuroma
      • Intoeing
      • Joint Pain in the Foot
      • Joint Swelling in the Foot
      • Lisfranc Injuries
      • Os Trigonum Syndrome
      • Osteoarthritis of the Foot and Ankle
      • Osteomyelitis (Bone Infection)
      • Osteopenia
      • Osteoporosis
      • Peroneal Tendon Injuries
      • Pigeon-toes
      • Posterior Tibial Tendon Dysfunction (PTTD)
      • R.I.C.E Protocol
      • Restless Legs
      • Rheumatoid Arthritis in the Foot and Ankle
      • Sesamoid Injuries in the Foot
      • Shin Splints
      • Swollen Feet
      • Synovitis
      • Tailor's Bunion
      • Talar Dome Lesion
      • Tingly Feet
      • Tired Feet
      • Toe Walking
      • Turf Toe
      • Varicose Veins
      • Webbed Toes
    • Nails and Skin
      • Athlete's Foot
      • Black Toenails
      • Callus
      • Contact Dermatitis
      • Corns
      • Cracked Heels
      • Dermatitis
      • Dry Heels
      • Eczema of the Foot
      • Foot Bumps
      • Foot Lumps
      • Foot Odor
      • Foot Rash
      • Frostbite
      • Fungal Nails
      • Ganglion Cyst
      • Heel Fissures
      • Inflammation: Acute
      • Ingrown Toenails
      • Malignant Melanoma of the Foot
      • Plantar Fibroma
      • Plantar Wart (Verruca Plantaris)
      • Pump Bump (Hallux Rigidus)
      • Puncture Wounds
      • Rash
      • Raynauds Phenomenon
      • Skin Cancer of the Foot and Ankle
      • Smelly Feet
      • Sweaty Feet
      • Thick Toenails
      • Warts
      • White Toenails
      • Wounds/Ulcers
      • Wounds-Puncture
      • Yellow Toenails
    • Diabetic Health
      • Diabetic Complications and Amputation Prevention
      • Diabetic Foot Care Guidelines
      • Diabetic Peripheral Neuropathy
      • Diabetic Shoes
      • MRSA Infection of the Foot
      • Peripheral Arterial Disease (P.A.D.)
      • Soft Tissue Biopsy
    • Fitness and Your Feet
      • Baseball Injuries to the Foot and Ankle
      • Basketball Injuries to the Foot and Ankle
      • Field Hockey Injuries to the Foot and Ankle
      • Football Injuries to the Foot and Ankle
      • Golf Injuries to the Foot and Ankle
      • Lacrosse Injuries to the Foot and Ankle
      • Rugby Injuries to the Foot and Ankle
      • Running and Track Injuries to the Foot and Ankle
      • Soccer Injuries to the Foot and Ankle
      • Softball Injuries to the Foot and Ankle
      • Tennis Injuries to the Foot and Ankle
      • Volleyball Injuries to the Foot and Ankle
    • Orthotics and Footwear
      • Custom Orthotic Devices
      • Orthotics
      • Shoe Inserts
    • Compartment Syndrome
    • Deep Vein Thrombosis (DVT)
    • Equinus
    • Instructions for Using Crutches
    • Staph Infections of the Foot
  • Operation Footprint
  • The Association of Extremity Nerve Surgeons
  • Rotational Bunion Procedures (Lapiplasty)
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  • Regenerative Medicine
  • Home >
  • Articles >
  • Bone/Joint/Tendon >
  • Intermetatarsal Neuroma

What Is a Neuroma?
A neuroma is a thickening of nerve tissue that may develop in various parts of the body. The most common neuroma in the foot is a Morton’s neuroma, which occurs between the third and fourth toes. It is sometimes referred to as an intermetatarsal neuroma. “Intermetatarsal” describes its location in the ball of the foot between the metatarsal bones. Neuromas may also occur in other locations in the foot.

 

MortonThe thickening, or enlargement, of the nerve that defines a neuroma is the result of compression and irritation of the nerve. This compression creates enlargement of the nerve, eventually leading to permanent nerve damage.

Causes
Anything that causes compression or irritation of the nerve can lead to the development of a neuroma. One of the most common offenders is wearing shoes that have a tapered toe box, or high-heeled shoes that cause the toes to be forced into the toe box.

People with certain foot deformities – bunions, hammertoes, flatfeet, or more flexible feet – are at higher risk for developing a neuroma. Other potential causes are activities that involve repetitive irritation to the ball of the foot, such as running or court sports. An injury or other type of trauma to the area may also lead to a neuroma.

Symptoms
If you have a Morton’s neuroma, you may have one or more of these symptoms where the nerve damage is occurring:

  • Tingling, burning, or numbness
  • Pain
  • A feeling that something is inside the ball of the foot
  • A feeling that there’s something in the shoe or a sock is bunched up

The progression of a Morton’s neuroma often follows this pattern:

  • The symptoms begin gradually. At first they occur only occasionally, when wearing narrow-toed shoes or performing certain aggravating activities.
  • The symptoms may go away temporarily by removing the shoe, massaging the foot, or by avoiding aggravating shoes or activities.
  • Over time the symptoms progressively worsen and may persist for several days or weeks.
  • The symptoms become more intense as the neuroma enlarges and the temporary changes in the nerve become permanent.

Diagnosis
To arrive at a diagnosis, the foot and ankle surgeon will obtain a thorough history of your symptoms and examine your foot. During the physical examination, the doctor attempts to reproduce your symptoms by manipulating your foot. Other tests or imaging studies may be performed.

The best time to see your foot and ankle surgeon is early in the development of symptoms. Early diagnosis of a Morton’s neuroma greatly lessens the need for more invasive treatments and may avoid surgery.

Non-surgical Treatment
In developing a treatment plan, your foot and ankle surgeon will first determine how long you’ve had the neuroma and evaluate its stage of development. Treatment approaches vary according to the severity of the problem.

For mild to moderate neuromas, treatment options may include:

  • Padding. Padding techniques provide support for the metatarsal arch, thereby lessening the pressure on the nerve and decreasing the compression when walking.
  • Icing. Placing an icepack on the affected area helps reduce swelling.
  • Orthotic devices. Custom orthotic devices provided by your foot and ankle surgeon provide the support needed to reduce pressure and compression on the nerve.
  • Activity modifications. Activities that put repetitive pressure on the neuroma should be avoided until the condition improves.
  • Shoe modifications. Wear shoes with a wide toe box and avoid narrow-toed shoes or shoes with high heels.
  • Medications. Oral nonsteroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen, may be recommended to reduce pain and inflammation.
  • Injection therapy. Treatment may include injections of cortisone, local anesthetics or other agents.

When Is Surgery Needed?
Surgery may be considered in patients who have not responded adequately to non-surgical treatments. Your foot and ankle surgeon will determine the approach that is best for your condition. The length of the recovery period will vary, depending on the procedure performed.

Regardless of whether you’ve undergone surgical or nonsurgical treatment, your surgeon will recommend long-term measures to help keep your symptoms from returning. These include appropriate footwear and modification of activities to reduce the repetitive pressure on the foot.

  • Bone/Joint/Tendon
    • Accessory Navicular Syndrome
    • Achilles Tendon Rupture
    • Ankle
      • Ankle Arthritis
      • Ankle Fractures
      • Ankle Pain
      • Ankle Sprain
      • Swollen Ankles
      • Tarsal Coalition
      • Tarsal Tunnel Syndrome
      • Weak Ankles
    • Arch Pain
    • Arch Supports
    • Bone Healing
    • Bone Infection
    • Bone Tumors in the Foot
    • Brachymetatarsia
    • Bunions (Hallux Abducto Valgus)
    • Bursitis
    • Calcaneal Apophysitis (Sever's Disease)
    • Calf Pain
    • Capsulitis of the Second Toe
    • Cavus Foot (High-Arched Foot)
    • Charcot Foot
    • Chronic Ankle Instability
    • Clubfoot
    • Cold Feet
    • Common Disorders of the Achilles Tendon
    • Drop Foot
    • DVT (Deep Vein Thrombosis)
    • Extra Bones
    • Fallen Arches
    • Fifth Metatarsal Fracture
    • Flatfoot
      • Flatfoot-Adult Acquired
      • Flatfoot-Flexible
      • Flatfoot-Pediatric
    • Foot Arthritis
    • Foot Drop
    • Fracture
      • Foot Fracture
      • Fracture-Ankle
      • Fracture-Foot
      • Fractures of the Calcaneus (Heel Bone Fractures)
      • Fractures of the Fifth Metatarsal
      • Fracture-Toe
      • Jones Fracture
      • Stress Fracture in the Foot
      • Toe and Metatarsal Fractures (Broken Toes)
    • Gangrene
    • Gout
    • Haglund's Deformity
    • Hallux Rigidus
    • Hammertoes
    • Heel Pain (Plantar Fasciitis)
    • High-Arched Foot
    • Intermetatarsal Neuroma
    • Intoeing
    • Joint Pain in the Foot
    • Joint Swelling in the Foot
    • Lisfranc Injuries
    • Os Trigonum Syndrome
    • Osteoarthritis of the Foot and Ankle
    • Osteomyelitis (Bone Infection)
    • Osteopenia
    • Osteoporosis
    • Peroneal Tendon Injuries
    • Pigeon-toes
    • Posterior Tibial Tendon Dysfunction (PTTD)
    • R.I.C.E Protocol
    • Restless Legs
    • Rheumatoid Arthritis in the Foot and Ankle
    • Sesamoid Injuries in the Foot
    • Shin Splints
    • Swollen Feet
    • Synovitis
    • Tailor's Bunion
    • Talar Dome Lesion
    • Tingly Feet
    • Tired Feet
    • Toe Walking
    • Turf Toe
    • Varicose Veins
    • Webbed Toes
  • Nails and Skin
    • Athlete's Foot
    • Black Toenails
    • Callus
    • Contact Dermatitis
    • Corns
    • Cracked Heels
    • Dermatitis
    • Dry Heels
    • Eczema of the Foot
    • Foot Bumps
    • Foot Lumps
    • Foot Odor
    • Foot Rash
    • Frostbite
    • Fungal Nails
    • Ganglion Cyst
    • Heel Fissures
    • Inflammation: Acute
    • Ingrown Toenails
    • Malignant Melanoma of the Foot
    • Plantar Fibroma
    • Plantar Wart (Verruca Plantaris)
    • Pump Bump (Hallux Rigidus)
    • Puncture Wounds
    • Rash
    • Raynauds Phenomenon
    • Skin Cancer of the Foot and Ankle
    • Smelly Feet
    • Sweaty Feet
    • Thick Toenails
    • Warts
    • White Toenails
    • Wounds/Ulcers
    • Wounds-Puncture
    • Yellow Toenails
  • Diabetic Health
    • Diabetic Complications and Amputation Prevention
    • Diabetic Foot Care Guidelines
    • Diabetic Peripheral Neuropathy
    • Diabetic Shoes
    • MRSA Infection of the Foot
    • Peripheral Arterial Disease (P.A.D.)
    • Soft Tissue Biopsy
  • Fitness and Your Feet
    • Baseball Injuries to the Foot and Ankle
    • Basketball Injuries to the Foot and Ankle
    • Field Hockey Injuries to the Foot and Ankle
    • Football Injuries to the Foot and Ankle
    • Golf Injuries to the Foot and Ankle
    • Lacrosse Injuries to the Foot and Ankle
    • Rugby Injuries to the Foot and Ankle
    • Running and Track Injuries to the Foot and Ankle
    • Soccer Injuries to the Foot and Ankle
    • Softball Injuries to the Foot and Ankle
    • Tennis Injuries to the Foot and Ankle
    • Volleyball Injuries to the Foot and Ankle
  • Orthotics and Footwear
    • Custom Orthotic Devices
    • Orthotics
    • Shoe Inserts
  • Compartment Syndrome
  • Deep Vein Thrombosis (DVT)
  • Equinus
  • Instructions for Using Crutches
  • Staph Infections of the Foot

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Clinton Foot & Ankle Clinic, PC

Monday:

9:00 am-5:00 pm

Tuesday:

9:00 am-5:00 pm

Jonesville Location

Wednesday:

9:00 am-5:00 pm

Thursday:

9:00 am-5:00 pm

Saline Location

Friday:

9:00 am-5:00 pm

Saturday:

9:00 am-5:00 pm

1 day a month

Sunday:

Closed

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