Bridge Run Injury Prevention "Neuromas"

We have less than two months before the Cooper River Bridge Run 2015. We would like to briefly talk about a common running injury that we see which are "Neuromas." Typically Neuromas develop from a reduction of the fat pad on the bottom of the foot combined with repetitive stress such as running that can causes an inflammation of the digital nerve. The common complaint is pain in the ball of the foot in between the 3rd and 4th toes or 2nd and 3rd toes. Pain can be described as burning, tingling, numbness, and sharp. It usually feels like a sock is bunched up in your shoe.

The way we diagnose neuromas is usually clinically and the faster this condition is diagnosed the quicker the recovery is. We have digital x-ray and diagnostic ultrasound in the office to help rule out other common conditions. I have experienced having a neuroma over the years from running and have followed a simple conservative treatment plan that I outline for my patients to keep them active. Conservative treatments include: metatarsal pads to offload and take pressure off the neuroma, cortisone injections, custom offloading sports orthotics, shoe modifications, NSAIDS, alcohol sclerosing agent injections for chronic cases.

Included in this blog is a brief video on Neuroma diagnosis and treatments. It provides nice tips on how to prevent and treat neuromas.

If you are feeling numbness, tingling, burning, and radiating pain into the toes you may have a neuroma. We can evaluate and treat this common running injury and help to alleviate your symptoms so you can train and run in the upcoming bridge run. Very rarely is surgery indicated and the conservative plan that we use keeps you running along with helping to resolve this common foot ailment.



Other Methods?
By Sean
February 04, 2015
This is a very succinct explanation of Neuromas. What are your thoughts about using a more cushioned shoe, or a wider shoe as a first line of defense? The idea with the wider shoe is to allow the forefoot to relax and spread out (the concept behind brands like Altra.) I have found some success with these methods in the early stages, but I am wondering if other have had the same findings. podiatrist cincinnati oh