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advice for Morton's Neuroma(10 posts)

advice for Morton's Neuromajimmyihatetoregister
Dec 10, 2003 8:19 PM
I have a mild case of it, confirmed by a podiatrist. Caused by the loss of my metatarsal arch on my left foot. I'm 42, maybe it was too much ultimate frisbee. My shoes are OK, not too tight. Doc advised new orthotics with the metatarsal arch, ice, advil. If that does not work in 1 month or so, a shot of steroids. He says 90% of cases go away with this treatment. How have YOU treated it? Doc said to lay off running for a while, cycling OK. I usually run b/c its efficient & convenient, tho I perefer cycling. THX for the advice.
re: advice for Morton's Neuromalyleseven
Dec 10, 2003 8:52 PM
Article on the subject in Bicycling this month suggests large platform pedals as opposed to SPD type.
re: advice for Morton's Neuromadjg21
Dec 10, 2003 9:14 PM
Good insoles and good shoes should help.

I'd suggest the D2 shoes and insoles, available at
http://www.d2customfootwear.com
I have a significant neuromakoala
Dec 11, 2003 3:49 AM
and plan to have surgery this winter or early spring. Mine clicks audibly. I cycle with Look pedals and have no problems(one size larger shoes than normal) and got orthotics. The orthotics help a lot, and I cycle with them too. You may have to take out the insert in the shoe to make the orthotic work. Running or walking long distances bothers me but not cycling. Mine also hurts whenever I wake up for the first 50 steps or so. Doctor said mine was bad enough to skip the shots and go to the knife. It never goes away or gets better without surgery, the cortisone just masks the discomfort. The surgery only takes 15 minutes and is covered by insurance. Good luck.
I quit running and it's gone. (nm)TFerguson
Dec 11, 2003 6:14 AM
You got the standard adviceKerry Irons
Dec 11, 2003 4:40 PM
Typical causes are narrow shoes or high heels. Metatarsal arches spread the toes, reduce the irritation, and allow the neuroma to shrink with time. Shots are the next step. If that doesn't work, surgery is a miracle cure. When I had this problem, and I Googled it. You'll get tons of great information, including some nice graphics showing you just what is going on. Podiatrists tend to tell you that you'll be out of commission for several weeks with the surgery, but my experience was that I was able to ride my commuter bike after just a few days.
Thats funny, my doc said they do not shrink...koala
Dec 11, 2003 6:37 PM
I read all I could and found no evidence they shrink.You show me where its possible and Ill call off the surgery.
re: advice for Morton's Neuromadotkaye
Dec 11, 2003 5:16 PM
I've had neuromas in both feet since 1974... What's worked well for me in running shoes is a trick Johnny Halberstadt at the Boulder Running Co. showed me: cut a small circle of orthopaedic felt and stick it to the bottom of the inner of the shoe, just behind the metatarsals. It usually takes a few tries with each new pair of shoes to get the pad situated just right, but once it's there, it lifts and separates the metatarsals and relieves the pressure on the neuroma. This helps with the pain and helps prevent further damage. All your shoes, running and other, should be loose-fitting in the forefoot. I'm also using OTC orthotics with a metatarsal pad from FootSmart in my work shoes, they help.

Tried some expensive custom orthotics, but they didn't work as well as the pad, so junked them. I looked into surgery, but the anecdotal evidence I have so far is that of 9 surgeries, 5 of them re-grew the neuroma in less than 2 years. That doesn't sound like worthwhile odds to me.
I'm in Boulder..is he still at Boulder Running Company?jimmyihatetoregister
Dec 12, 2003 8:43 AM
I should give that a try I guess. Is FootSmart in Boulder too?
I'm in Boulder..is he still at Boulder Running Company?dotkaye
Dec 15, 2003 12:17 PM
yep, he and Mark Plaatjes own the place.

http://www.footsmart.com/Product.aspx?ProductId=96
is what I have. They have lots of other metatarsal supports too.