Is it possible to have multiple neuromas affecting both feet?
The Centre treats patients who present with multiple neuromas affecting both feet. In a publication by Adams et al. this is discussed in greater detail and the authors correctly highlight how some patients may have been diagnosed incorrectly.
Diffuse generalised forefoot pain affecting a number of toes can be associated with multiple neuromas, but also other conditions such as tarsal tunnel syndrome when the nerve gets trapped further back. Some patients even present with foot pain which is derived directly from conditions of the low back. At The London Podiatry Centre we perform extensive investigations to ensure that diagnosis is correct. One of the most powerful tools is a diagnostic injection whereby the offending or suspected nerve is temporarily stopped from working. Where tarsal tunnel syndrome is suspected, the patient may be sent for nerve conduction studies in order to assess the function of the nerve.