What is a Morton’s Neuroma?  

Morton’s Neuroma

Common site for Morton’s Neuroma

Morton’s neuroma is a thickening of the tissue that surrounds the interdigital nerve which leads to the toes. It often occurs between the 2nd/3rd or 3rd/4th metatarsal heads in the foot. It is approximately 8-10 times more common in women than men. In many cases, a neuroma may develop as a result of excessive loading on the front of the foot; however it can also develop  with no obvious trigger

Signs and symptoms
  • Feeling as though you are standing on a stone or pebble under the sole of the forefoot. 
  • A burning pain which can radiate to 1 or 2 toes.  
  • Tingling or numbness into the toes. 
  • Pain which is worse on weight bearing or when wearing narrow shoes (e.g. high heels) 

 

Treatment options

Conservative management can be successful for a vast number of patients and treatment include:  

  • Use of metatarsal pad to offload area (this can be purchased at a local pharmacy or online) 
  • Wearing wider fitting shoes  
  • Activity modification – reduce specific activities that may be exacerbating symptoms. For example reducing time standing, walking long periods. 

A corticosteroid injection can be carried out in order to reduce inflammation in the area and allow symptoms to settle if other conservative measures have not helped.  

In severe cases which do not resolve, surgical removal of the neuroma is an option.