Morton’s neuroma is a painful foot condition that affects thousands of individuals worldwide.

It is characterised by the thickening of the tissue around a nerve leading to the toes, most commonly occurring between the third and fourth toes.

This condition can cause discomfort, and pain, and affect one’s ability to walk or engage in physical activities.

In this blog, we will delve into the causes, symptoms, and available treatment options for Morton’s neuroma.

Image of a foot with Morton's neuroma

Causes: The exact cause is not yet fully understood.

Several factors are believed to contribute to its development.

These factors include:

  1. Footwear: Wearing tight, narrow-toed shoes or high heels can increase pressure on the toes and compress the nerves, potentially leading to the development of a neuroma.
  2. Foot Structure: Certain foot deformities, such as high arches, flat feet, or bunions, can put extra strain on the nerves in the foot, making individuals more susceptible to Morton’s neuroma.
  3. Repetitive Activities: Engaging in activities that involve repetitive movements or pressure on the forefoot, such as running, jumping, or participating in sports, can contribute to the development of this condition.

Symptoms of Morton’s neuroma may vary from person to person, but they commonly include:

  1. Sharp, burning pain in the ball of the foot.
  2. Tingling or numbness in the affected toes.
  3. Feeling as if there is a pebble or a fold in the sock under the ball of the foot.
  4. Increased pain when walking, especially while wearing tight shoes.
  5. Relief from pain when removing footwear or massaging the affected area.

Diagnosis: If you suspect you may have Morton’s neuroma, it is important to consult a podiatrist, for an accurate diagnosis.

The diagnosis will involve a thorough examination of the foot and a discussion of your symptoms. In some cases, imaging tests such as ultrasound, or MRI scans may be ordered to rule out other conditions and confirm the presence of a neuroma. Steph has been learning how to use the Ultrasound machine in clinic and many of you may have seen this ready.

Podiatry Services Podiatrist Explaining The Ankle Range Of Movement With Patient

The treatment approach for Morton’s neuroma aims to alleviate pain, reduce inflammation, and improve foot function.

Here are some common treatment options:

  1. Footwear Modification: Switching to shoes with a wider toe box and lower heels can help relieve pressure on the affected area.
  2. Orthotic Devices: Custom-made or over-the-counter shoe inserts (orthotics) can provide support and help redistribute pressure, reducing the symptoms of Morton’s neuroma.
  3. Medications: Nonsteroidal anti-inflammatory drugs (NSAIDs) may be recommended to reduce pain and inflammation.
  4. Injections: Corticosteroid injections into the affected area can help alleviate pain and reduce inflammation temporarily.
  5. Physical Therapy: Certain exercises and stretches can help improve foot strength, flexibility, and stability, relieving symptoms.
  6. Surgical Intervention: If conservative treatments fail to provide relief, surgical removal of the neuroma may be considered. This is typically reserved for severe cases or when other treatment options have been exhausted.

How to prevent Morton’s Neuroma:

While Morton’s neuroma may not be entirely preventable, there are steps you can take to reduce your risk:

  1. Wear properly fitted shoes with adequate toe room.
  2. Avoid high-heeled shoes or narrow-toed footwear for extended periods.
  3. Incorporate foot-strengthening exercises into your routine.
  4. Take breaks and rest your feet during activities that involve repetitive foot movements.

Morton’s neuroma can be a debilitating condition that affects your everyday life. By understanding the causes, recognizing the symptoms, and seeking appropriate treatment, you can effectively manage the issue.

As always if you wish to discuss your foot issue with the team please do not hesitate to drop us an email or call us on 01905 905042