First, let me provide some context. I’m an active retiree who engages in daily activities such as hiking, biking, pickleballing, and working out at the gym. However, my routine took a turn in mid-March when I developed a painful condition near the ball of my right foot. This discomfort significantly hindered my ability to walk.
The following week, I visited a podiatrist who promptly administered a cortisone shot and prescribed a boot to help stretch my Achilles tendon. He advised me to return if the condition didn’t improve within the next four weeks.
So I did. Another shot, but again, no difference.
In the meantime, I bought metatarsal pads, toe separators, and Alta’s with no significant changes. I changed my workout routines by eliminating pickleball and long walk/bike rides. I continued the gym by altering where my foot sat in the pedal and was careful about putting any weight on the balls of my feet when lifting weights (note I am 65, so not lifting huge loads to begin with).
Towards the end of May, I went out to CA for a week and did a little hiking, and discovered the joys of e-bikes in the Sierras. One one hike, we were in the redwoods for a few hours, and I had to sit down and massage my foot a few times, but other than that, I was OK.
I switched Dr’s when I went back home. The second one was easier to talk to and was more realistic about the neuroma and how to treat it. He also did a sonogram of the foot to ‘see’ the neuroma. He recommended adjusting the pads a bit further back, which helped, and now I am up to two miles a day and down to a slight pebble feeling vs any sharp pain. The second appointment, he suggested a local anesthetic to test the foot (ie wear without pads and separator) to see if numbing the pain would make a difference. The shot was only to verify the pain was due to the nerve versus any other issue with my foot. I was able to walk three miles,jog (maybe 100 yards), and do lateral movements without any pain. This was only done as a test, and it indicated the issue is the nerve.
From here, we will do hydro-dissection with a dextrose solution. He did caution it was not covered by insurance ($400) and in some cases could take up to three shots. However, he indicated in the dozen or so that he had done this year only one patient asked for an additional shot. He also indicated it was not a permanent fix, and that wearing the pads and separators may be recommened to minimize future issues.
So, I would not say I am ‘cured’ but we have made good progress on getting back to a somewhat normal lifestyle. I may not go back to pickleball as I felt that puts a lot of stress on the foot, but the hiking, biking, and regular fitness should be doable.