The voice of experience is here, but I'm not sure I'm the typical neuroma patient. I have MS and my nerves are not normal anyway, but here's my take on the matter.
I developed this around 2004 while working in retail and walking on concrete 9 hours a day. Tt was extremely painful to walk.....like there was a marble in my shoe, and I could move around early in my shift fairly well but I'd be limping and lurching by the end.
I tried cortisone injections and it worked for a couple of days, but it was more
painful the first couple of days after the shots. We decided to do surgery and nerve was removed.
Well, it came back with a vengeance and in a year or so it was like walking on a golf ball
. Add to it the sensations in the toes from having nerves cut out....it was like having novocaine in the toes that was just wearing off (you know the tingling and 'fat' feeling?). That feeling was just a pain in the arse. It still is. If I bang those toes it just sends me up a wall. I'm constantly aware of it. Cutting my toenails feels like taking that novocained lip and scraping it with a rasp.....ouch.
More cortisone injections, without result. Custom footbeds were made with a movable pad. I tried to move that pad around so that it was comfortable to walk around in street shoes, but no matter where I put it, it just felt like I had the neuroma AND some hard thing in my shoe. Scrap the custom footbeds.
The second surgery was done, but a different podiatrist. That was done in Oct. 2006, and then in Jan. 2007 I broke my leg. Instead of 'taking it easy' on the healing neuroma foot, it became my ONLY foot for walking for some time. I'm sure that didn't help the healing process.
Now I'm back to the golf ball again and I'm not sure what to do from here on, but I don't have that as a priority right now. My neurologist said that it could be an MS symptom, and prescribed a Lidocaine patch. When the pain is bad, I stick one on the foot and sleep with it. It does help.
As for skiing, it never really bothered me all that much. I got new boots in 2005, and they're a great fit. I wear a thicker Smart Wool ski sock with them and the pressure must be just right because it doesn't bother me till late in the day. Taking them off....that's another story!
I would definitely try the cortisone injections first. The footbeds are non-invasive and worth a shot also. Lots of people have great luck with those. I would do surgery as a last resort because the result is permanent, and the sensations that are left behind are extremely annoying.
Good luck and happy skiing!