NY-euroma In My NY-erve Part 2

When I last left you, my poor dear NYC podiatry patients, we were discussing the vicissitudes of pain in the ball of the foot. Since that time the foot still hurts, we are still walking, and it’s just a bit hotter. Time to be a bit proactive and talk about solutions to the problem. After all, anyone can complain about the problem, it takes a real tough New Yorker to complain about the solution too.

At the heart of this problem is a thin, fragile and slightly defenseless nerve that is wedged between the hard unforgiving metatarsal bones and even harder and more unforgiving shoes, ground forces and the challenge of defensively walking the streets of New York. So it’s rather unsurprising that inflammation of the nerve is such a common condition. And the treatments are generally directed toward reduction of inflammation.

The first step, in my NYC podiatry practice is typically a cortisone injection. Now friends, before you go and cast off this most sacred blog, hear my words and listen to my keyboard. Cortisone injections are more than just a bandaid, and I know so because I’ve blogged about them. Cortisone is a potent anti-inflammatory agent that reduces inflammation both within the nerve and the surrounding space, and combined with sensible shoes and- wait for it- orthotics, is typically curative. If, however, it is not, then the next step is a procedure called radio frequency ablation. Without betraying any gory details, this is an office procedure that uses electric current to significantly reduce the inflammation in the nerve, and carries a high success rate with minimal downtime. If all that fails the next step is an endoscopic release of a ligament around the nerve, a very quick outpatient procedure, also carrying a high success rate and minimal downtime. And finally there is the old gold standard- removal of the offending nerve. Obviously this carries certain risks and the procedure is only utilized when all else fails. The good news is very few patients reach this stage, and in the 6-7 years since I have been releasing the nerve, I have only had to resort to excision of the nerve in one patient.

So my young and young at heart friends, we have before us a very common and very treatable condition. The risks and benefits of each of the above listed procedures is too long and boring for this most holy blog, and can be elucidated in the warm and welcoming environment of your friendly local NYC foot doc. Now get out there and soak up the sun, it’s summertime!

See you in the office.

Ernest Isaacson

Ernest Isaacson Dr. Ernest Isaacson is a graduate of the Scholl College of Podiatric Medicine at Rosalind Franklin University of Medicine and Science. After completing two years of comprehensive training in various medical specialties including internal medicine, general surgery, orthopedic surgery, vascular surgery, plastic surgery and podiatric medicine, Dr. Isaacson completed a comprehensive one-year podiatric surgical residency. Dr. Isaacson is active in research and publication in basic and clinical science. Dr. Isaacson is also a dedicated family man who enjoys running, reading and spending time with his family.

You Might Also Enjoy...

When Should I Get Bunion Surgery?

Here’s a question I get pretty often: why feet?  And I answer, because I love feet. And usually I’ll add a comment about how it’s a good thing I’m not a gastroenterologist or a urologist or something along those lines.

Heal the Heel

Ok kids time for a little word association. Tell me the first thing you think of when I say - plantar fasciitis. If it starts with an F no need to articulate the sentiment, but you might want to read on.

And I Thank You

Shocking, yet not surprising, the year is coming to a close and it’s already time to shop bargains on turkey and squash.

Why You Should Call Your Podiatrist (even after hours)

It’s relatively late at night in the city as I write this, and many of my dear Manhattan podiatry patients may be wondering what it is I’m doing at this late hour, other than filling the annals of this most holy and sacred blog with more consecrated verbia

Heal Thyself

Summer’s over now kids, although if you’re like me summer is just winter with heat. Still, I do get a little pit in my stomach as Labor Day looms large on the calendar and the waning days of summer transform into the crisp breezes of autumn, and other line