Painful Neuroma of the Foot: Symptoms, Diagnosis and Surgical Excision

A neuroma is a painful swelling or abnormal growth involving a nerve. On the foot, it can cause localized tenderness, burning, tingling, or electric-shock-like pain.

Symptoms that need assessment

Persistent pain over a small swelling, sensitivity to touch, altered sensation, or pain after prior trauma or surgery should be examined. The diagnosis may require a focused clinical assessment and, in selected cases, ultrasound or MRI.

When surgery is considered

If a painful neuroma does not respond to appropriate non-surgical treatment, exploration and excision may be considered. The operative plan depends on which nerve is involved, the location, and the cause of pain.

Important expectations

Nerve surgery is individualized. The goal is to reduce pain and improve function, but recovery varies with the nerve, injury history, and healing response.

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FAQ

Is every foot lump a neuroma?

No. Cysts, soft-tissue tumours, scar tissue, and other conditions can cause a lump or pain.

Can a neuroma cause burning pain?

Yes. Burning, tingling, and electric sensations can occur when a peripheral nerve is involved.