A neuroma is a non-malignant tumor, thickening or growth of a nerve. Neuromas are often located at the ball of the foot or the area behind the toes The problems caused by neuromas can include numbness, tingling, shooting, burning, stabbing or radiating pain or just an odd feeling in the area. Some patients say they feel like a sock is wadded up beneath and behind their toes.

Effective Non-surgical Treatment

Usually a neuroma can be successfully treated without surgery. We hope to not only relieve discomfort due to a neuroma but to prevent that discomfort from returning. As with many other health issues, the sooner you begin treatment for your neuroma, the better your chances are for successful treatment. Surgery is always reserved as a last resort for neuroma care.

Conservative treatment can be highly successful

Conservative treatment for neuroma may include:

1. Orthotic therapy - Our office uses custom orthotics almost exclusively. A custom orthotic is made for you and for your diagnosis from a cast of your feet. Many offices will give you an off-the-shelf orthotic. We say why! If you come see a specialist we believe you want the best and we want to give it to you. Custom orthotics can do a lot to relieve neuroma pain and keep it from returning.

2. Injections of local anesthetic and corticosteroids - We still use this as a valuable treatment but find that other treatments like sclerosing injections, {chemical neurolysis} are usually much more effective.

3. Chemical Neurolysis - Sclerosing alcohol injection is another name for this treatment. We are finding this treatment extremely successful in relieving pain and other problems associated with neuromas. This treatment is usually much longer lasting than steroid injections and has fewer associated side effects. It does usually require a series of injections spaced ten days to two weeks apart. We pride ourselves in giving quite pain free injections. For more information visit our chemical neurolysis page.

4. Shoes with a wider toe box - Shoe fit is very often overlooked. Some of our patients can get relief of their neuroma symptoms just with better fitting shoes. One idea on shoe fit is to stand barefoot on a piece of light cardstock paper. Bend over and trace your feet and then cut these tracings out marking them right foot and left foot. Slide each tracing into the correct shoe. If the paper bends or crumples at the ball of the shoe [the wide part of the forefoot}, then the shoe is too narrow. Shoes that are too narrow tend to squeeze the metatarsal bones together a little and can irritate the nerves.

Hours of Operation


9:00 am-5:00 pm


9:00 am-5:00 pm




9:00 am-5:00 pm


9:00 am-5:00 pm





4050 Lake Otis Parkway, Suite 102 | Anchorage, Alaska 99508 | Telephone (907) 561-2213

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