What Is Morton's Neuroma?
Morton's neuroma is a painful condition affecting the ball of the foot, typically between the third and fourth toes. It involves a thickening of the tissue around one of the nerves leading to your toes, causing pain and discomfort.
Common Symptoms
- Sharp, burning pain in the ball of the foot
- Feeling like you're standing on a pebble or fold in your sock
- Numbness or tingling in the affected toes
- Pain that worsens with walking or wearing tight shoes
- Symptoms that improve with rest and when wearing wider shoes
Risk Factors
- Wearing high heels or tight shoes
- Participating in high-impact athletic activities
- Foot deformities (bunions, hammertoes)
- Certain sports (running, court sports)
- Women are more commonly affected than men
Diagnosis
Your doctor will diagnose Morton's neuroma through:
- Physical examination
- Medical history review
- Imaging tests (MRI or ultrasound if needed)
- Reproduction of symptoms through manipulation
Treatment Options
Conservative Treatments
- Wearing properly fitted shoes with wide toe boxes
- Using orthotic devices or metatarsal pads
- Ice therapy
- Activity modification
- Over-the-counter anti-inflammatory medications
Medical Interventions
- Corticosteroid injections
- Alcohol sclerosing injections
- Custom orthotics
Surgical Options
- Decompression surgery
- Neurectomy (surgical removal of the affected nerve)
Prevention
- Choose comfortable, well-fitting shoes
- Avoid high heels when possible
- Maintain a healthy weight
- Use proper footwear during sports activities
When to See a Doctor
Seek medical attention if you experience:
- Persistent foot pain
- Symptoms that don't improve with conservative measures
- Pain that interferes with daily activities
Recovery and Outlook
Most patients respond well to conservative treatment. Recovery time varies depending on severity and treatment approach. Early intervention typically leads to better outcomes.