Choose shoes with a broad toe box and extra depth. Freeze a water-filled paper cup or plastic foam cup and roll the ice over the painful site. Regular ice massage may help reduce pain. Over-the-counter nonsteroidal anti-inflammatory medications, such as ibuprofen (Advil, Motrin IB, others) and naproxen sodium (Aleve), can reduce swelling and relieve pain. To help relieve the pain associated with Morton's neuroma and allow the nerve to heal, consider the following self-care tips: Although surgery is usually successful, the procedure can result in permanent numbness in the affected toes. Surgical removal of the growth may be necessary if other treatments fail to provide pain relief. In some cases, surgeons can relieve the pressure on the nerve by cutting nearby structures, such as the ligament that binds together some of the bones in the front of the foot. Some people are helped by the injection of steroids into the painful area. If conservative treatments haven't helped, your doctor might suggest: These can be purchased over the counter, or your doctor may prescribe a custom-made, individually designed shoe insert - molded to fit the exact contours of your foot. Arch supports and foot pads such as metatarsal pads fit inside your shoe and help reduce pressure on the nerve. Wear shoes with adequate room across the ball of the foot and in the toe. Your doctor will likely recommend trying conservative approaches first. Treatment depends on the severity of your symptoms.
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