The links below are products that Dr Foot has independently reviewed and recommends.

Dr Foot Pro Insoles

Orthotics to treat foot pain

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Anti Shock Insoles

Insoles with molded-in metatarsal pad helps relieve the pain of Morton’s neuroma and metatarsalgia (ball-of-foot pain)

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Dr Foot Gel Plus Insoles

Ideal Insoles if you suffer from forefoot pain or conditons such as mortons neuroma.

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NEUROMA

(MORTONS NEUROMA)

INTRODUCTION TO NEUROMA

The term neuroma refers to a swelling of a nerve. The nerve commonly affected is a small nerve that connects the 3^rd and 4^th toes, counting from the big toe. The patient will complain of pain in the sole of the foot.

SYMPTOMS OF A NEUROMA

• Begins with numbness or tenderness in the foot, just behind the 3^rd and 4^th toes
• At a later stage, pain, numbness, burning and tingling sensations can radiate around the foot.
• The symptoms may appear and disappear spontaneously.
• Severe pain may be present at weight bearing.
• The patient may experience spontaneous shooting pains, which is often referred to as an "electric shock". This can affect patients when are sleeping at night.

CAUSES OF A NEUROMA

• The pulling of the ligaments under the foot irritates the nerve.
• High heels can damage the nerve.
• A tight toe box will squeeze the toes in the foot and therefore put pressure on the nerve.
• Mechanical problems with the feet such as "over pronation". Over pronation can be simply described as a condition, which causes your arches to flatten out when you stand up. This causes your ankles to roll in towards each other and disturbs your normal walking pattern. If a foot over pronates the structures of the foot are put under stress, which increases the likelihood of a neuroma occurring.

Dr Foot Recommends

Review:
It's what's inside this sleeve that counts!

This elastic sleeve slips onto your forefoot to reduce pressure and provide extra cushioning protection. If you suffer from Morton's neuroma, this extra soft and breathable silicone pad offers you tremendous relief.

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Customer Review:

"Great product! I have had problems with my neuroma for ages, and these felt wonderful. No more painful feet when walking. I'd definitely recommend them to others. My wife even bought silicone pads and silicone insoles just for comfort when she saw how much I liked them, and she loves them!!"

Colleen Patience, Canada

TREATMENT

• Firstly, the chiropodist will diagnose the condition. History of the condition, clinical presentation and your description of the problem may be sufficient.
• The chiropodist may squeeze the area between the bases of the toes. The area may be sensitive and an audible click may be present. This click is the neuroma pushing between the bones and is often referred to as a mulders click.
• X-rays may be necessary of the foot. This may rule out a stress fracture of the foot.
• You may be referred for a MRI scan, this will enable the chiropodist to see the neuroma.
• Various types of pads can be used to redistribute pressure away from the lesion.
• Orthotics (insoles) may be prescribed to redistribute pressure away from the neuroma.
• The chiropodist may advise your General Practitioner to inject inflammatory medicine into the neuroma.
• Appropriate shoes may be recommended.
• A decrease in symptoms may occur instantaneously, with a complete recovery in a few months. However, the patient may need to use insoles to prevent a further reoccurrence.
• In severe cases, surgery may be necessary. Removal of part of the nerve may be preformed.