If the pain from the neuroma is intolerable and the conservative management has failed to help, there are surgical options. There are surgical procedures designed to remove the neuroma and the portion of the nerve that is causing pain. There is also a surgery to sever the ligament that crosses over the nerve. This technique is called nerve decompression. These procedures are performed in an out patient facility so that the patient can return home right after the surgery is finished. Following the surgery there is a chance that the neuroma may grow again. If the there is neuroma regrowth and the pain persists, additional surgery may be needed. About 13 years ago I started noticing intermittent pain in the ball of my right foot. Generally it would feel as if the bones between my third and fourth toes were cracking together, and sometimes it was more of a stabbing or burning sensation. Eventually the pain became more frequent and started cropping up in the left foot as well, and recently I decided to take serious action and get it under control. It started with research which led me to conclude that I had Morton’s neuroma, a hypothesis that was confirmed when I finally saw a podiatrist. People with diabetes will not feel these minor injuries and can develop sores, blisters, and skin ulcers. These ulcers can become easily infected. The infetion spreads to the bone and can then cause major problems. More than 60% of amputations not caused by some sort of trauma is due to complications from diabetes. This is why all people with diabetes should be familiar with a podiatrist. I routinely tell my diabetic patients that they should check their feet daily before they go to sleep and call me if they see anything that wasn't there the night before. Owing to the fact that there are different types of arthritis, there is vast diversity in what arthritis symptoms evident in arthritic patients, that it would be impossible to get the right kind of arthritic shoes which would work for everyone suffering from arthritic foot conditions Fortunately, there are some shoes that work best for most pervasive arthritis symptoms. As individuals shop for the right kind of arthritis to relive discomfort in their joints and feet , they should be familiar with the good features of arthritis shoes that would make an excellent match for their unique symptoms. Tarsal tunnel syndrome can mirror other foot conditions, such as heel pain, arch pain, or neuropathy therefore, the podiatrist may need to utilize various examination techniques, imaging modalities and electro diagnostic studies to diagnosis tarsal tunnel and syndrome. The podiatrist will tap along the course of tibial nerve to reproduce the shooting sensation often associated with tarsal tunnel syndrome. The podiatrist will also examine if there is any swelling along the tarsal tunnel and the medial arch because this may indicate a mass that may be in the tunnel. This exam produces a narrowing the space of the tarsal tunnel and can recreate the patient's symptoms. Myelin is a rich layer of special fatty substances around each nerve fiber (axon)Â that protects and insulates.Â A good way to describe each nerve is similar to an electric wire that transmits nerve impulses through it.Â The insulation around the wire is similar to theÂ myelin sheathÂ around the nerve axons.Â When the nerve loses that insulation, the nerve is unable to work the same way it did BEFORE it lost the insulation.Â When the insulation (myelin) repairs, it is (scarred) and the ability of the nerve to conduct impulses to the rest of the body is altered.