Neuroma between second and third toes with swelling and pain.
by eeed
I have never worn heels. I worked at a job where I stood on my feet 6 to 8 hours a day but wore good tennis shoes with orthotics. I do have fallen arches. I've suffered with Plantar Fasciitis for 18 years and have worn orthotics for about 10. For the past 5 years I have experienced pain and swelling and separation of my second and third toes on my left foot. It took me 4 years and getting out of my HMO before I received any treatemnt. In 2009 I was treated with steroid injections and then had alcohol injections to deaden the nerve. I am still unable to wear any type of closed shoe without pain after 10 minutes. My toes are so widely separated that when the shoe pushes them together it causes pain. I have moved to another state and will see a new Podiatrist in a week or so and wonder if surgery is the right move for me at this time and what possible complications come with such a surgery? Hi, When the toes are spread so far apart and pressing on the area causes severe pain, it suggests to me that you probably have a large neuroma, meaning conservative treatment may not be enough and surgical removal may be your only real option. The key to a successful surgery is to make sure you surgeon is sure it is a neuroma (opposed to a cyst or other type of soft tissue growth in the area that may be mimicking neuroma pain). Other than that the only other major complication is what is known as a stump neuroma where the nerve is not adequately excised further back in the foot. Any foot surgeon who removes neuromas should be aware of this potential complication. Discuss this with your doctor. Marc Mitnick DPM
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