The treatments for neuromas depend on how severe and how long the condition has lasted. If started early, conservative treatments typically work well. The first thing is to modify your shoes with padding or an insert (orthotic). A small cortisone injection around the affected nerve can provide good relief. Ice, massage, and physical therapy can help as well.
More aggressive treatments for neuromas, such as surgery, may be needed for severe cases. However, a good alternative to neuroma surgery is a treatment with alcohol. This procedure chemically destroys the affected nerve. It requires a series of 4 to 6 injections around the neuroma every week. This has a high success rate and is well tolerated. There will be some numbness in the toes following either the alcohol injections or surgery, but this will diminish over time.