Morton's Neuroma Symptoms & Treatment

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What Is Morton's Neuroma?

Morton’s neuroma is a condition where the tissue around one of the nerves in the foot thickens, usually between the third and fourth toes. This can cause sharp, burning pain in the ball of the foot, often radiating to the toes, and a sensation like there is a pebble in your shoe. You may also feel tingling, numbness, or tightness in the area.
 
A common way to check for Morton’s neuroma is the squeeze test, where a podiatrist gently presses on the foot to compress the area between the toes. If the pain or discomfort increases, it may suggest the presence of a neuroma. If you experience these symptoms, it’s important to consult with a podiatrist who can assess your condition and offer effective offloading treatments to reduce pressure and alleviate discomfort.
person holding forefoot on the left foot, pain indicated by redness in the photo, pain possibly caused by Morton's Neuroma

Table of Contents

Symptoms of Morton's Neuroma

Morton’s neuroma typically causes sharp, burning pain in the ball of the foot, which may radiate toward the toes. Many people describe the sensation as if they have a pebble or something stuck inside their shoe. In addition to pain, you may experience numbness or tingling in the toes.
 
The discomfort often worsens with walking, standing, or wearing tight shoes, and may ease when you remove your shoes or massage the foot. The symptoms can vary in intensity, and they may come and go, often worsening with prolonged activity or pressure on the foot. If you’re experiencing any of these symptoms, it’s important to visit a podiatrist for an accurate diagnosis and effective treatment.

Identifying The Cause

The cause of Morton’s neuroma can vary from person to person, making it important to have a thorough assessment to identify and address all contributing factors. This will help relieve your symptoms more quickly and reduce the chances of the neuroma returning. As part of the assessment, we will conduct a biomechanical and gait analysis to determine if issues with foot alignment and function are playing a role in the development of the neuroma

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Treatment Options

Relieving your symptoms often starts with wearing well-fitting shoes that are wide enough and have a roomy toe box, reducing pressure on your feet and toes. A metatarsal dome can be effective in lifting and separating the bones, creating more space for the nerve.
 
If conservative treatments are unsuccessful and foot structure or mechanics are contributing to your pain, custom orthotics may be considered to help manage the problem. In some cases, a local anesthetic and steroid injection may be recommended to help settle acute symptoms, but this is typically not the first treatment option.

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