Morton's Neuroma 

What is a Morton's neuroma?

Morton’s Neuroma is a condition that impacts the ball of the foot, typically occurring between the third and fourth toes. Neuromas are non-cancerous nerve growths resulting from the thickening of the surrounding soft tissues. Though benign, these growths can exert pressure on the nerve, leading to numbness, irritation, or burning pain. 

Symptoms

  • Feels like stepping on a pebble 
  • Burning pain in foot
  • Tingling or numbness in the foot
  • Pain may be aggravated by tight-fitting footwear
  • Toes spreading, often referred to as a 'daylight sign' 
  • Pain elicited with tiptoeing

Causes

Morton’s Neuroma is usually caused by an irritation or pressure to the nerve. An injury to the nerves may trigger or exacerbate this condition as well.

Risk factors for  include:

  • Prolonged use of high heels
  • Footwear that is tight at the toe box
  • High-impact sports involving running and jumping
  • Tight muscles in the legs
  • Wearing shoes that are too small for you
  • Winter boots 

How is a Morton's neuroma managed?


As with any musculoskeletal injury, managing the pain should be dealt with first. Switching from high heels or tight-fitting shoes to footwear with a larger toe box will relieve pressure. Try to avoid taking medication as this will only numb and hide the pain, this way you do not know if the above remedies have worked. 

If the pain persists, consult a podiatrist who can assess your condition and the biomechanics of your feet to determine the appropriate treatment.

Conservative therapies, such as low evel saser and shockwave therapy may help to assist in alleviating some pain and orthotic intervention may be needed in chronic cases. If your condition is exacerbated by pre-existing biomechanical issues such as flat feet, a podiatrist may prescribe custom orthotics to prevent further aggravation.

If all conservative options have been exhausted, surgery may be necessary to remove the neuroma.