Capsulitis, metatarsalgia, and stress fractures can be confused with neuroma. A thorough exam and sometimes MRI or ultrasound are needed for an accurate diagnosis.
Initial therapies are nonsurgical and relatively simple: ◦ Change footwear to alleviate pressure on the nerve. ◦ Use customized shoe inserts to reduce pressure on the nerve. ◦ Cortisone injection to reduce swelling and inflammation around the nerve.
If conservative treatments do not relieve symptoms, surgery may be needed.