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 heels 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



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Amanda Rugg


I was frankly shocked at how good they were at EVERYthing. They saw me less than 2 hours after I called. Dr. Barko was ebullient and professional. You can ask them questions via TXT, which is huge. Their offices are spic-n-span and modern. Basically, they're knocking it out of the park. I don't wish for more in-grown toenails, but if it happens, I'm going straight back to Lexington Podiatry.

Mick Jeffries


I love Lexington Podiatry! The staff is always so helpful, and attentive. I love Dr. Freels. She is top notch, and is always so happy to see me, and listens to me about what is going on.

Amie Castle


Dr. Carter diagnosed and created a treatment plan in minutes- other podiatrists have treated me incorrectly for years. So pleased to have answers and solutions.

Katy Perkins


My left foot had been hurting for a while. The staff and doctors here are all quite knowledgeable and professional, as well as friendly and personable. My diagnosis was promptly made, x-ray completed right there in the office, and I left with the two braces that I needed. No waiting for the mail, trip to brace shop, nada. Most excellent clinic!

Susan Bell

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.