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    Foot Surgery: Neuroma or Plantar Callus

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

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

    Neuroma

    When 2 metatarsal bones are squeezed together, they may pinch the nerve that runs between them. The pinched nerve can become swollen and painful. This often happens at the base of the third and the fourth toes. Standing or walking for a while can increase the pain.

    Bottom view of foot showing neuroma between toe bones.

    Neuroma removal

    The enlarged part of the inflamed nerve is removed. Most often, you can bear weight on your foot right away. You may have to wear a surgical shoe for a few weeks. When healed, a small area may feel numb, where part of the nerve was taken out.

    Bottom view of foot showing neuroma between toe bones.

    Plantar callus

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

    Bottom view of flexed foot showing plantar callus on ball of 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 go away on its own over time.

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

    Online Medical Reviewer: L Renee Watson MSN RN
    Online Medical Reviewer: Raymond Turley Jr PA-C
    Online Medical Reviewer: Thomas N Joseph MD
    Date Last Reviewed: 11/1/2021
    © 2000-2024 The StayWell Company, LLC. All rights reserved. This information is not intended as a substitute for professional medical care. Always follow your healthcare professional's instructions.
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    Southern New Mexico
    Surgery Center

    2301 Indian Wells Rd. Suite B
    Alamogordo, NM 88310
    www.snmsc.org

    Phone: 575.437.0890
    Fax: 575.437.0905
    Email: info@snmsc.org

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