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We answer all types of Neurology/Neurological questions about the brain, spinal cord, and peripheral nerves. Include your age, sex, current meds, and known diagnoses, upcoming/completed appointments, tests, or procedures. We are not physicians. We help explain medical terminology and give support.
Numb Toes/Burning Balls of Feet
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An_249316 posted:
I read a few posts about people with numbness or tingling in their toes and burning in the balls of their feet. Many were being treated with Gabapentin and talking about peripheral neuropathy. What about Morton's Neuroma?

The second and third toe on each of my feet are numb (always) and I have burning in my insteps (after lengthy periods of standing). My internist suggests Morton's Neuroma. A podiatrist was pretty non-commital and just suggested stretching the toes to prevent them from becoming hammertoes and getting wider toebox shoes with good arch support in them, which should also be kind to bunions that are forming. A neurologist wants to do a nerve conduction study (I also have fairly chronic low back pain) to rule out neuropathy.

Thoughts?
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lifes responded:
After reading about Morton's Neuroma, I have these comments using the symptoms for Morton's...

  • Tingling in the space between the third and fourth toes
  • Neuropathy is widespread typically, affecting the feet, ankles, legs, arms, hands.

  • Toe cramping
  • Neuropathy has a variety of symptoms but cramping is generally not one.

  • Sharp, shooting, or burning pains in the ball of your foot (and sometimes toes)
  • Neuropathy pain is more widespread.

  • Pain that increases when wearing shoes or pressing on the area
  • Neuropathy can be worse when walking or in clothes/shoes, but generally it is always present.
  • Pain that gets worse over time
  • Neuropathy waxes and wanes but never gets much better without meds.
For Morton's it includes:
But, I've never heard these being associated with neuropathy in any way. Usually in neuropathy, the foot appearance is fine except dry skin because of peripheral nerve changes.

Lifes


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