Hello,
Given your situation, I think that your doctor should consider "Morton's neuroma" as well.
Morton's neuroma is usually seen in middle-aged patients, who are physically active.
In a good percentage of cases there are no findings in imagery examinations and thus, the diagnosis is usually based on clinical findings (in earlier stages).
The condition is caused by a compression of the plantar nerve against the adjacent ligament and it affects typically the middle toes.
Sometimes,
ischemia is also involved in producing this health condition. Overall, the exact cause is not known.
Treatment includes rest, and better fitting shoes (shoes that are not tight), just as your doctor recommended. If the problems persists, then maybe injections of
corticosteroids might be considered.
If the situation aggravates, surgery might be considered, but only after more sensitive imaging examinations.
In this case, the best diagnosing tool is
magnetic resonance imaging (MRI) as it is superior to
CT scan or X-ray
radiography in revealing such lesions.
Therefore, please consult with your doctor about this possibility.
Hope I have answered your query. Let me know if I can assist you further.
Take care
Regards,
Dr Ervin Toçi, General & Family Physician