Morton’s Neuroma
What is Morton’s Neuroma?
Morton’s Neuroma is a painful nerve condition that affects the forefoot, specifically between the metatarsal bones. Despite its name, a Morton's Neuroma is not actually a tumor but rather a fibrous thickening of nerve tissue, often caused by repeated compression or irritation.
When the metatarsal bones are squeezed together, they apply pressure to the affected nerve, leading to discomfort that radiates into the forefoot and toes. This pain is nerve-related, meaning it can manifest in several different ways, including:
- Burning pain
- Sharp, shooting pain
- Numbness or tingling
- Neuralgia (severe nerve pain)
- A sensation of having a lump or pebble in your shoe
Symptoms may worsen when wearing tight or narrow shoes and may improve when walking barefoot or wearing well-fitted footwear.
Where Does Morton’s Neuroma Occur?
The most common location for Morton’s Neuroma is between the third and fourth metatarsals, slightly toward the outer part of the foot. However, foot anatomy is complex, and symptoms can sometimes be misdiagnosed as other foot conditions, such as capsulitis, stress fractures, or metatarsalgia. This is why seeking an accurate diagnosis from a specialist is crucial for effective treatment.
How is Morton’s Neuroma Diagnosed?
A key diagnostic method involves compressing the metatarsals together to assess for tenderness or a distinct "Mulder’s Click"—a noticeable clicking sound that occurs when the thickened nerve is compressed.
Morton’s Neuroma is four times more common in women than men, primarily due to footwear choices. High heels, pointed shoes, and tight-fitting footwear significantly increase the risk of developing this condition by applying excessive pressure on the forefoot.
Treatment Options for Morton’s Neuroma
Effective treatment depends on early intervention and symptom severity. Common treatment options include:
Footwear Adjustments – Switching to wider shoes with a lower heel helps reduce forefoot compression and relieves nerve pressure.
Orthotics & Padding – Custom insoles or metatarsal pads can help realign the foot and relieve pressure on the nerve.
Physical Therapy & Stretching – Exercises to improve foot mechanics can reduce strain on the metatarsals.
Medications & Injections – Anti-inflammatory medications and corticosteroid injections may help reduce pain and swelling.
Surgical Intervention – In severe cases, the thickened nerve tissue may need to be surgically removed to provide long-term relief.
There is always a solution for Morton’s Neuroma, so if you’re struggling with persistent foot pain, seek professional help. Early diagnosis and the right treatment approach can prevent long-term discomfort and keep you moving pain-free!
Still in Pain?
Are you are feeling like you have tried everything but are still in pain?
Do you feel like you have seen every health practitioner you can about your foot pain?
We have a track record of diagnosing and successfully treating cases that have previously proven difficult to resolve and we’d love to help you get back on your feet doing what you love.
Hi there
I have Morton’s neuroma.
Do you do an ultra sound guided cortisone?
I am going on a trip overseas in 4 weeks and aware I will be walking miles!
Thanks