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Foot Surgery: Neuroma or Plantar Callus

Foot Surgery: Neuroma or Plantar Callus

Tight shoes and high heels can put extra pressure on the ball of the foot, causing neuromas and calluses. A neuroma is an inflamed nerve. It may cause pain, numbness, or burning. A plantar callus is a buildup of hard skin on the front of the foot. The callus may feel like a stone in your shoe.

There are many non-surgical treatments for neuromas and calluses. But if these are not helpful, surgery may be considered.

Neuroma

When two metatarsal bones are squeezed, they can pinch the nerve that runs between them. The pinched nerve may swell and be painful. This often happens at the base of the third and fourth toes. Standing or walking for a while can increase the pain.

neuroma removal

The enlarged part of the inflamed nerve is removed. In most cases, you will be able to bear weight on your foot right away. You may need to wear a surgical shoe for a few weeks. When it heals, a small area where part of the nerve was removed may feel numb.

Bottom view of the foot showing a neuroma between the bones of the toe.

plantar callus

When one metatarsal bone is longer or lower than the others, it presses on the skin underneath and forms a callus. Wearing shoes with thin soles and high heels can also put extra pressure on the ball of your foot. As a result, the callus can cause foot pain and irritation.

Bottom view of flexed foot showing a plantar callus on the sole of the foot.

bone removal

The affected metatarsal bone is cut and aligned with the other metatarsals (oblique osteotomy). Screws or pins may be used to hold the bone in place. Only part of the metatarsal bone is removed. The plantar callus should disappear on its own over time.

Bottom view of the flexed foot showing the metatarsal realigned to help heal the plantar callus on the bottom of the foot.


Author: StayWell Personalized Communications



Date of last annual review:4/1/2024



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