Neuroma 
Pinched nerve, nerve tumor, or swollen nerve are some common names for a neuroma. A neuroma is usually located between the base of the third and fourth toes. It is characterized by a sharp pain, usually when wearing shoes. Usually, someone suffering from a neuroma, feels that they may need to remove their shoe and rub their foot for relief. The reason for this is that the nerve between the toes is pinched by constricting shoes. When the pain becomes more frequent and lasts over a longer period of time, the nerve is usually enlarged.
Symptoms of a Neuroma are usually burning, tingling, cramping, or numbness at the ball of the foot and into the toes. It may feel like walking on a marble or a wrinkle in the sock. The pain can radiate into the toes. When you rub your foot or walk you may feel a popping or clicking sensation. Usually this is the enlarged nerve as it rolls against the bones in your foot.
Cause
A neuroma is an inflammation of the covering of a nerve. This covering of a nerve is called a nerve sheath. The thickening of the sheath is usually caused by irritation that results when the nerve is trapped between two bones in the foot. Pronation allows the metatarsals to move excessively and compress the nerve in some cases. Narrow toed dress shoes and high heel shoes may cause hyperextension stretching forces as well as direct compression of the nerve between the metatarsal bones.
Usually an x-ray is taken and a complete history and exam is performed. The first line of treatment usually consist of oral anti-inflammatories and a cortisone injection at the site of the neuroma. Prescription orthotics, made from an impression of the foot are also beneficial in relieving neuroma pain. Treatment for this condition may include a thick soled shoe with a wide toe box. Certainly, avoidance of high heels is recommended.
If all these conservative measures fail then surgical excision may be needed. Usually this surgery can be done on an out-patient basis. The recovery time for this procedure is usually less than three weeks and return to normal shoes is very quick
If you are experiencing any of these signs or symptoms, call today for an appointment.