Morton's Neuroma

If you’re experiencing persistent foot pain that feels like you’re stepping on a pebble or have a burning sensation between your toes, you might be dealing with Morton’s neuroma. This article will delve into what Morton’s neuroma is, its symptoms, causes, diagnostic methods, and the various treatment options available.​

At the Orthopedic Foot & Ankle Center in Greater Columbus, our experienced foot and ankle surgeons are dedicated to providing comprehensive care for conditions like Morton’s neuroma. If you’re seeking relief from foot pain, don’t hesitate to contact us for a consultation.​

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What is Morton's Neuroma?

Morton’s neuroma is a painful condition affecting the ball of the foot, most commonly between the third and fourth toe bones. It involves the thickening of tissue around one of the nerves leading to your toes, causing sharp, burning pain in the ball of your foot or a stinging, burning sensation in your toes.​

What Causes Morton's Neuromas?

Morton’s neuroma develops due to compression or irritation of the nerve between the metatarsal bones, most often in the area between the third and fourth toes. Over time, this pressure causes the tissue to thicken, leading to pain and inflammation.

Several contributing factors can increase the risk of developing this condition:

  • Improper Footwear: High-heeled shoes and footwear with a narrow toe box can compress the forefoot, especially in the space between the third and fourth toes, irritating the nerve.
  • Foot Structure and Gait Abnormalities: People with flat feet, high arches, bunions, or hammertoes may have altered foot mechanics that increase stress on the nerve.
  • Repetitive Stress: Activities that involve high-impact movements, like running, jumping, or court sports, can aggravate the nerves over time.
  • Injury or Trauma: Direct impact to the forefoot can initiate nerve damage or worsen existing compression.
 

By understanding these causes, patients can take proactive steps to reduce pain and prevent the condition from progressing. This may involve modifying footwear or reducing certain activities.

A doctor examining Morton’s Neuroma.

What Are Morton's Neuroma Symptoms?

Morton’s neuroma symptoms begin gradually and may worsen over time. Common signs include:

  • The feeling as if you’re standing on a pebble in your shoe
  • A sharp, burning pain in the ball of your foot that may radiate towards your toes
  • A tingling or numbness in your toes
  • Pain that intensifies when wearing shoes, especially those with a narrow toe box or high heels
 

These symptoms often worsen with activity or when wearing shoes that compress the foot.

When to See a Doctor

If you are experiencing any of these symptoms of Morton’s neuroma, it is important to seek advice from a foot specialist. They can provide a thorough examination of the foot and determine the underlying cause of your symptoms.

Early diagnosis increases the chance that nonsurgical treatment will be effective. Schedule an appointment with an experienced foot and ankle surgeon, like those at the Orthopedic Foot & Ankle Center in Greater Columbus, to treat Morton’s neuroma and reduce pain before the condition progresses.

How Are Morton's Neuromas Diagnosed?

Diagnosis of Morton’s neuroma typically involves a physical examination and a review of your medical history. During the exam, a foot and ankle surgeon may press on your foot to feel for a mass or tender spot and assess for a clicking sensation between the bones of your foot.​

Imaging tests may be recommended to rule out other conditions:​

  • X-rays: X-rays can exclude other causes of foot pain, such as fractures.
  • Ultrasound: This can be used to detect any soft tissue abnormalities, including neuromas.
  • MRI: Provides detailed images of soft tissues and can help in diagnosing a neuroma.​

What is the Treatment for Morton's Neuroma?

Treatment options for Morton’s neuroma aim to reduce pain and address the underlying cause:​

Nonsurgical Treatment

Conservative treatments may be recommended in the early stages of the condition. These treatments may include the following:

  • Footwear Modifications: Switching to shoes with a wide toe box and avoiding high heels can alleviate pressure on the nerve.
  • Orthotic Devices: Custom shoe inserts can help relieve pressure on the affected area.
  • Medications: Nonsteroidal anti-inflammatory drugs (NSAIDs) can reduce pain and inflammation.
  • Injections: Corticosteroid injections may be administered to reduce inflammation and pain.
 

These conservative treatments are often effective, especially when symptoms are addressed early.

Surgical Treatment

If nonsurgical treatments fail to provide relief, surgical options may be considered:

  • Neurectomy: Removal of the affected nerve segment.
  • Decompression Surgery: Relieves pressure by cutting surrounding structures, such as ligaments.
 

Surgery is typically recommended when other treatments have not been successful, and symptoms significantly impact daily activities.

Take the Next Step Toward Pain-Free Living

If you’re experiencing symptoms of Morton’s neuroma, Orthopedic Foot & Ankle Center in Greater Columbus is here to help. Our team of skilled foot and ankle surgeons specializes in diagnosing and treating foot conditions to help you return to your daily activities without pain.​

Don’t let foot pain control your life. Contact us today to schedule a consultation and explore the best treatment options tailored to your needs.​

Medically reviewed by Roberto A. Brandão, DPM, FACFAS

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