Foot Neuroma

A foot neuroma is a pain in the ball of your foot, most often between the third and fourth toes, however, it can be present in between any of the toes.

Symptoms range from mere discomfort or feeling like there’s a rock in your shoe to searing pain or stinging.

The toes might hurt or be numb, or you might be experiencing a radiating pain that shoots from the ball of your foot out into the toes. Like many foot conditions, it’s important to get this treated because it will only get worse.

Neuroma Causes

Neuromas are caused by the thickening of tissue around the nerves that lead into your toes. It’s the body’s way of trying to protect the nerve from injury.  While we don’t fully understand what causes foot neuromas, doctors suspect the culprit is some kind of irritation, injury or unusual pressure on the nerve due to faulty biomechanics. That’s because it’s relatively common among patients who:

  • Have conditions like flat feetbunions or hammertoes
  • Wear the wrong shoes like high heals or too-tight shoes
  • Play high-impact sports like running
  • Participate in sports that involve wearing tight shoes, like rock climbing or skiing
  • Women that are between age 40 – 60
Treatments for Neuromas

When you come in for an appointment, we’ll do a thorough examination of your foot and may take an X-Ray or use an ultrasound to rule out any other possible causes of the pain.

  • We’ll start by taking a look at the type of shoes you wear to see if that might be the culprit. (It’s amazing what the wrong shoes can do to your feet!)
  • We might recommend arch supports or orthotics to relieve the pain and allow the tissue to return to normal. Other possible options, depending on the severity and level of pain, include corticosteroid injections, chemical neurolysis and surgery, but only after we have exhausted all other treatment options.
  • When more conservative treatments do not work, we might recommend chemical neurolysis.
Alcohol Injections

Patients receive a series of injections of an alcohol solution mixed with an anesthetic. The solution is injected directly into the nerve that is causing the pain, often assisted by the use of an ultrasound, to destroy that portion of the nerve.

We see a success rate of approximatly 95% with chemical neurolysis, are rarely do patients have any side effects and there is no recovery time. You might feel a little pain in that area that evening, but it’s most likely going to be less that what you felt with the neuroma.

Most importantly, it can help avoid the cost, pain and recovery time that comes with surgery.

If you are experiencing foot pain, call our office or make an online appointment


Staff was extremely friendly and professional. They took us back immediately and no waiting for doctor to come in. Dr Settles-Carter was amazing with my little girl. She took her time and explained every detail to my daughter. As we were leaving my little girl said Dr Settles-Carter was the best doctor ever. Coming from a 10yr old.

Bert King

It took some work, and patience, but my feet are much better now. Dr. Freels worked with me to find exercises, and more importantly, the right shoe to wear. So nice not to dread going into work, for the pain of simply walking. Despite what another review here says, they've never tried to sell me any shoes there, have always left the choice up to me.

Robert Griffith

The staff was very courteous. However, the care provided by Dr. Carter and the staff in the back was exceptional! I finally had answers for my health concerns and issues and a course or plan of treatment including the costs of the services they provide. I especially liked the hours of operation...I can see a doctor for the treatment I need without having to use my personal and sick days! Love the flexibility. Lastly, the ambiance esthetics were relaxing and beautiful.

Bonnie Ogle Taylor

The entire staff at Lexington Podiatry was very welcoming and friendly. Jill went out of her way to make sure my daughter was taken care of. We appreciate being seen so quickly (it would have taken weeks to have seen an orthopedist for her foot injury). Now, she is on the road to recovery! Great office, thanks everyone!

Team Wade 24

Had a great experience! Everyone was very nice, it was clean, the doctor took time to listen to me. She showed me my x-rays and explained them to me. I would recommend them to family and friends.

Heather Purvis

Accepted Insurance Providers

There may be providers, plans and coverage not included on this list. We will help you with navigating the options for coverage and costs. We also accept HSA, Flex accounts, Care Credit and prompt pay pricing for treatment at the clinic and surgical procedures. We do not accept Medicaid or CareSource plans at this time. Visit our New Patient page for more details.