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Posts for: December, 2009

By drevans@northshorepodiatry.net
December 05, 2009
Category: Uncategorized
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Dr. Gary Evans, a New York City Foot and Ankle Surgeon, teaches his patients that the combination of wearing narrow, pointed-toe shoes at work and pounding their feet on New York City streets or in the gym can cause a Neuroma, a painful nerve disorder of the feet.

Active women, especially those with flat feet, are prone to develope neuromas. A nerve located between the toes becomes enlarged and inflamed and produces a tingling, cramping, burning pain.

Gary Evans, DPM,and James Korponay DPM, who are Board Certified in Foot Surgery, and members of the American College of Foot and Ankle Surgeons agree that the symptoms begin gradually and, left untreated, progressively worsen.

"We see neuromas quite often in our female patients who wear high heels, even if they occaisionally wear a flat shoe or sneaker" says Dr. Korpoany.

Dr. Gary Evans explains that neuromas enlarge as the condition progresses, causing pain and numbness to an area at the base of the toes, or forefoot. Patients often complain it feels as if there is a cramp , or sharp, burning pain in the ball of their foot. The symptoms may go away temporarily by massaging their foot, wearing wider shoes with low heels, and avoiding running and other activities that aggravate the condition.

"Symptoms become more intense as the nerve enlarges and the temporary damage becomes permanent, so it's best to seek treatment if discomfort persisits more than a few days" Dr. Korponay says.

Dr. Evans states that Neuromas can develope in different areas of the foot. The most common is called Morton's Neuroma, which developes at the base of the third and fourth toes. The nerve will thicken and swell from compression and irritation from wearing narrow shoes, high heels and pronation of the foot while running.

Treatment options for Morton's Neuroma depend on how far the condition has progressed. Gary Evans, DPM and James Korpornay, DPM, both advocate immediate conservative care. Which could include special padding and strapping of the foot, local steriod injections,and local alchohol injections.

In severe cases, surgery might be the best option. When necessary, Dr. Evans explains, "surgery has a very high success rate."