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By Mayo Clinic staffTo help relieve the pain associated with Morton's neuroma and allow the nerve to heal, consider the following steps:
- Take anti-inflammatory medications. Over-the-counter nonsteroidal anti-inflammatory medications, such as aspirin and ibuprofen (Advil, Motrin, others), can reduce swelling and relieve pain.
- Try ice massage. Regular ice massage may help reduce pain. Freeze a water-filled paper cup or plastic foam cup and roll it over the painful site three times a day.
- Change your footwear. Avoid high heels or tight shoes. Choose shoes with a broad toe box and extra depth.
- Wear arch supports or pads (orthotic devices). Arch supports and foot pads fit inside your shoe and help reduce pressure on the nerve. Your doctor may prescribe a custom-made, individually designed shoe insert, which is molded to fit the contours of your foot. Or your doctor may recommend an over-the-counter metatarsal pad or bar, which you can position over the neuroma to relieve stress on the affected nerve.
- Take a break. For a few weeks, reduce activities such as jogging, aerobic exercise or dancing that subject your feet to high impact.
References
- Morton's Neuroma. American Association of Orthopaedic Surgeons. http://www.orthoinfo.aaos.org/topic.cfm?topic=A00158. Accessed July 11, 2008.
- Hughes, RJ, et. al. Musculoskeletal Imaging: Treatment of Morton's Neuroma with Alcohol Injection Under Sonographic Guidance: Follow-Up of 101 Cases. American Journal of Roentgenology. 2007; 188:1535-1539.
- Womack, JW., M.D., et. al. Long-Term Evaluation of Interdigital Neuroma Treated by Surgical Excision. Foot & Ankle International. 2008; 29(6): 574-577.
- Markovic, M, MB, BS, et. al. Effectiveness of Ultrasound-Guided Corticosteroid Injection in the Treatment of Morton's Neuroma. Foot & Ankle International. 2008; 29(5): 483-487.
- Mozena, JD., DPM, et. al. Efficacy of Chemical Neurolysis for the Treatment of Interdigital Nerve Compression of the Foot: A Retrospective Study. Journal of the American Podiatric Medical Association. May 2007; 97(3): 203-206.
- Akermark, C, et. al. A prospective 2-year follow-up study of plantar incisions in the treatment of primary intermetatarsal neuromas (Morton's neuroma). Foot & Ankle Surgery. 2008; 14: 67-73.
- Weller, G (expert opinion). Mayo Clinic, Rochester, Minn. July 27, 2008.