The feeling of something extra inside your shoe can be annoying. At Next Step Foot & Ankle Clinic, located in the greater San Antonio area with two offices in Pleasanton and Universal City, Texas, Dr. Darren Silvester and Dr. Boyd Bills understand your frustration and offer comprehensive solutions for neuromas in your foot. The team of doctors proudly offer education about causes and treatments of intense pain in your foot and toes. Book your appointment online or call the friendly office staff for available times today.

What is a neuroma and how does it form?

Nerves inside your foot help you stay balanced and feel the surface you’re walking on. If the sensitive nerves in your foot become damaged, you’re going to notice when you feel something like a hard pebble or other odd sensation in your step. The damaged nerve near the ball of your foot swells, making being on your feet hard to enjoy.

What are the symptoms of neuroma?

Neuroma causes increased numbness and pain when walking or the feeling of a pebble in your shoes when nothing is there. You might also notice:

  • Burning sensation
  • Tingling
  • Pins and needles
  • Sharp pain
  • Swelling


Because the symptoms could be from other issues with your feet, speaking with an expert at Next Step Foot & Ankle Clinic helps you determine if you have a neuroma or just need bigger shoes.

How painful is neuroma?

Depending on the severity of your neuroma, the pain can range from a general soreness or intense shooting pain. Repetitive stress such as wearing high heels, constant standing or walking, or sports like skiing contribute to both the pain and the formation of neuromas.

If the pain near the ball of your foot continues for more than a few days, seek treatment, especially if you’re unable to walk without any pain.

How is neuroma treated?

Neuromas form on nerves and without early treatment, could become permanent. The staff examines your foot first, looking for obvious outward trauma. Most cases of neuroma require conservative treatment such as:

  • Changing footwear
  • Adding orthotic support
  • Limiting hard impacts
  • Icing the area
  • Steroid injections
  • Corrective surgery


The expert team at Next Step Foot & Ankle Clinic wants you feeling comfortable with your treatment and designs a personalized treatment plan with you in mind.

Will I need surgery for my neuroma?

If your neuroma isn’t responding to other treatments, surgery may be your best option. Decompression surgery reduces the pressure on the nerve causing pain. Decompression surgery cuts some of the ligaments near the bones. In other cases, your medical team removes the nerve or tumor causing the pain. After your surgery, you may still have numbness, but the pain subsides.

If you’re suffering from pain while walking for more than a few days, call San Antonio’s Next Step Foot & Ankle Clinic in Pleasanton and Universal City, Texas, for the next available appointment or book your consultation online today.

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