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Podiatry NHS Lothian | Our Services

NHS LOTHIAN | PODIATRY SERVICE

Plantar Digital Neuroma

Plantar Digital Neuroma (PDN) is a condition characterised by pain from one or more of the small nerves found in the front of the foot, between the bones at the base of the toes.

The nerve can be irritated or damaged.

Mortons Neuroma Square

What causes Plantar Digital Neuroma?

What can I do to help myself?

It is important to try to work out what leads to your pain. Avoiding the causes or triggers of painful symptoms is one of the most important parts of helping your recovery.

Consider the following options:

Footwear

Shoe styles with fastening semi-rigid soles with thicker soles in the forefoot area are preferable and should accommodate the width and shape of your foot. Avoid shoes that bring the pain on. These tend to be narrow, thinner soled shoes. The heel height should be between 1cm and 4cm.

Modify activity levels

If you take part in higher impact sports or activities, you may need to consider other ways of keeping active. Lower impact activities (such as cycling or swimming) may be a good option for you.

Ice packs

Apply an ice pack for 20 minutes 2-3 times daily (ensure the ice is not applied directly to your skin, a cloth may be a useful barrier).

Aim for a healthy body weight

Being overweight increases pressure and strain to the affected area and could reduce your chances of successful resolution. If you need support with this please speak with your GP or the Get Moving service.

Pain medication

Some pain medication may help to reduce your symptoms and help you to move more comfortably. Discuss this with your Pharmacist or GP.

Excercises

Watch the videos below and follow the exercises as advised.

Towel Stretch

Gastrocnemius Stretch

Soleus Stretch

Towel Scrunches

Foot Doming

What if my symptoms fail to resolve?

NHS 24 MSK Help app

Self-Referral Form

Please complete a self referral form to apply to the podiatry service for treatment.
If you are using a smartphone please download the free Adobe Acrobat Reader app to complete the form electronically – get.adobe.com/reader
GPs and other healthcare professionals can access referral guidance on our Ref Help pages

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