Neuromas are growths on the sheaths that surround nerves. In
the foot, they are found on the inter-digital nerves between
the metatarsal bones in the forefoot. In this location they
are referred to as Morton's neuromas. They cause pins and
needles sensations, and sometimes burning and numbness, in
the balls of the feet and toes particularly at the third and
fourth toes. Tight fitting shoes with high heels, narrow toes
and little padding are especially bad because they squeeze
the metatarsal bones together pinching the nerve. However,
individuals who wear "good" shoes may also develop
them. This is especially true for athletes and people who put
a lot of strain on their feet. Abnormal pronation in these
cases may be a contributing factor. Orthotics will
redistribute the weight on the foot and reduce the metatarsal
movement which irritates the nerve, thus bringing relief. If
you suffer from a neuroma, I recommend you start by
purchasing metatarsal cookies and place them in your shoes
just behind the ball of the foot. For athletic or roomier
shoes, Spenco insoles will pad the forefoot and reduce
pressure. However, make sure the additional padding does not
make your shoes too snug. The shoe needs to be as wide as
your foot. If not, consider having the shoe stretched or get
a new pair. If the padded insoles don’t help, order a
pair of orthotics.
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