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A common condition of the foot and ankle are neuromas.

Neuromas can be painful, and sometimes a debilitating condition that can affect your quality of life. At Brighton Foot and Ankle, we specialize in diagnosing, treating and managing neuromas to help you find relief and regain your mobility.

Understanding Neuromas

A neuroma is a noncancerous growth of nerve tissue, often found in the area between the third and fourth toes. Neuromas form from pressure or repetitive irritation, causing the nerve to become inflamed and/or thickened. Typically, the nerve becomes irritated from decreased space between the bones known as the metatarsals. Neuromas can be a source of intense pain and discomfort, often described as feeling like you have a pebble or fold in your sock in your shoe. This sensation can result in a sharp, burning, tingling pain or an area of numbness in the ball of your foot.

Neuromas of the foot

Schedule an appointment today with Dr. Bryant Castelein, DPM – Podiatry Specialist

Neuromas ~ Cause

The exact cause of neuromas is not always clear, several factors can contribute to the development:


Wearing tight, narrow, or high-heeled shoes can increase pressure on the forefoot, potentially leading to neuromas.

Foot Structure:

Individuals with certain foot deformities or conditions like flat feet or bunions may be more susceptible to developing neuromas.

Repetitive Stress:

Activities that involve repetitive stress on the forefoot, such as running or certain occupations, can increase the risk of neuromas.

Trauma or Injury:

A history of foot injuries or trauma can also make individuals more prone to developing neuromas.

Our Approach to Neuroma Care

At Brighton Foot and Ankle, we offer a comprehensive and patient-centered approach to neuroma care. Dr. Castelein is committed to helping you find relief from neuroma-related pain by offering the following:

Foot Neuroma Care and Treatment plan

Accurate Diagnosis

The first step in addressing neuromas is a precise diagnosis. Dr. Castelein will conduct a
comprehensive examination which may include:

Personalized Treatment Plans

Once a neuroma is confirmed, Dr. Castelein designs an individualized treatment plan to cater to your specific needs. The primary aim is to alleviate pain and restore foot functionality. Treatment options may include:

Neuroma Post-Treatment

Ongoing Monitoring

Dr. Castelein will closely monitor your progress throughout the treatment process. He is committed to ensuring that your neuroma is effectively managed and that you experience minimal pain and discomfort in your daily life. Additionally, we provide extensive education on:

Prevention and Education

At Brighton Foot and Ankle, our mission extends beyond treating existing neuromas. We believe in empowering our patients with the knowledge and tools needed to aid in the prevention of future neuromas. Dr. Castelein offers comprehensive guidance on:

We understand the impact neuromas can have on your life, and are dedicated to providing you with the highest quality of care available.

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What Our Clients Think

Client Testimonials

I'm so happy to have found Brighton Foot And Ankle in Brighton. The office staff and assistant are very pleasant. Dr. Bryant Castelein is a great knowledgeable Dr. Who has eased my worry over my medical condition. Plus he's handsome. I would highly recommend this practice for anyone needing podiatry help.
What great people to help you! From receptionist to doctor, they are top notch! You would not regret going here for any of your foot/ankle problems, they will fix you up with the utmost care and compassion.
Yo K
Dr. Castelein and staff were friendly, knowledgeable , efficient and took the time to get to know me and understand my medical needs. I would not hesitate to go to Brighton Foot & Ankle. They go out of their way to treat their patients like family.
Dr. Castelein is great; he is very nice, patient, and professional. His staff is also excellent and friendly. It's only been about three hours since having my big toenail removed and, with acetaminophen and ibuprofen, there is very little pain(sometimes I completely forget about it); he did an excellent job. Overall, I am very impressed with Dr. Casteleins Practice and I would highly recommend his office.
Doctor & staff were so professional, friendly & efficient. I had a high risk condition that they expertly guided me through 5 months of healing. Thankfully a full recovery. I give them my best recommendation.
Very friendly and accommodating front desk staff. Dr. Castelein and Jennifer always take their time and do an amazing job! Great variety of quick pick up over the counter products that are always affordable too. Best experience I have had at an office.
Dr. Castelein is very friendly and extremely knowledgeable in his field. During my visit he did a great job explaining my situation and was very encouraging of any questions. I never felt rushed and I believe to have received the best care possible. Highly recommend this doctor and this facility.
Nicole C
Excellent staff and exceptional doctor. I went in with Bunion issues. Dr. Castelein listened to my concerns and addressed my options. 4 days post-op bunion surgery I can say he did an amazing job. Best experience I have ever had. I would definitely recommend; I promise you won't look further.
The staff and Dr. Castelein are all amazing. They are polite and very respectful. I came to see them in 2019 for bunion and hammer toe issues among some others. Dr. Castelein and his assistant listened to my concerns and gave me my options. He explained everything to me in detail and all my questions were answered.. I have seen other podiatrists and he is beyond the best. I would recommend him to anyone.
Friendly staff and intelligent doctor! I went in for some ankle X-rays and was given a great strategy on the different ways to heal my ankle, and how to progress forward if less invasive treatment doesn't help. I would highly recommend them to anyone with foot or ankle problems!