Morton’s Neuroma

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Morton’s neuroma is a painful foot condition that occurs when a nerve, usually between the third and fourth toes, expands and becomes compressed.

Anything that causes compression or irritation of the nerve can lead to the development of a neuroma. One of the most common offenders is wearing shoes that have a tapered toe box, or high-heeled shoes that cause the toes to be forced into the toe box.

Morton’s neuroma

People with certain foot deformities – bunions, hammertoes, flatfeet, or more flexible feet – are at higher risk for developing a neuroma. Other potential causes are activities that involve repetitive irritation to the ball of the foot, such as running or court sports. An injury or other type of trauma to the area may also lead to a neuroma.

If you have a Morton’s neuroma, you may have one or more of these symptoms where the nerve damage is occurring:

● Tingling, burning, or numbness
● Pain
● A feeling that something is inside the ball of the foot
● A feeling that there’s something in the shoe or a sock is bunched up

In developing a treatment plan, your Podiatrist will first determine how long you’ve had the neuroma and evaluate its stage of development. Treatment approaches vary according to the severity of the problem.

Morton’s neuroma

Treatments options

Padding. Padding techniques provide support for the metatarsal arch, thereby lessening the pressure on the nerve and decreasing the compression when walking.

Icing. Placing an icepack on the affected area helps reduce swelling.

Orthotic devices. Custom orthotic devices provided by your Podiatrist provide the support needed to reduce pressure and compression on the nerve.

Activity modifications. Activities that put repetitive pressure on the neuroma should be avoided until the condition improves.

Shoe modifications. Wear shoes with a wide toe box and avoid narrow-toed shoes or shoes with high heels.

Medications. Oral nonsteroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen, may be recommended to reduce pain and inflammation.

Foot Mobilisation Therapy to realign and stabilise the foot.

Short Foot Exercise to strengthen the intrinsic foot muscles.

Injection therapy. Treatment may include injections of cortisone, local anesthetics or other agents.

The best time to see your Podiatrist is early in the development of symptoms. Early diagnosis of a Morton’s neuroma greatly lessens the need for more invasive treatments and may avoid surgery.

Suresh Sivacolundhu

Suresh Sivacolundhu

Podiatrist at The Foot Clinic
For the last 10 years Suresh has been the Director and Senior Podiatrist for The Foot Clinic in Cottesloe, Perth. During this time he was also a Director of Sports Medicine Australia (SMA) and currently sits on the board as WA Trustee for AAPSM.
Suresh Sivacolundhu

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