Foot Pain

Morton's neuroma

What is Morton's neuroma?

Morton's neuroma is a condition that usually gives rise to pain in the space between the 2nd-3rd or 3rd-4th toes. The symptoms are usually a sign of inflammation and nerve irritation in the region.

What causes this problem?

  • The cause of Morton's neuroma is unknown.
  • Tight fitting or high heeled shoes may cause the condition because of prolonged periods of compression around the nerve.

What are the signs and symptoms?

  • Pain between the 2nd-3rd or 3rd-4th toes, worse with tight fitting shoes.
  • Pain usually eases when footwear is removed.
  • Pain can become worse with prolonged periods of walking or running.
  • You may also experience numbness, tingling or a burning sensation in these toes.

How do I manage this problem?

  • Wear comfortable shoes or shoes with a wide fitting.
  • Change your regular shoes to observe any changes in symptoms.
  • Rest from aggravating activities such as prolonged standing or walking.
  • Medications such as paracetamol or ibuprufen may help to reduce inflammation and pain.
  • Localised massage followed by an ice pack can help to settle mild symptoms.

What other treatments are available?

  • A Podiatrist may look at your foot mechanics and alignment and advise you on specific shoes or insoles. They may offer you a pad or toe spacers to increase the space between the bones of your foot.
  • Corticosteroid injection may be considered to relieve the pain if it is severe and does not settle with simple measures.
  • Surgery may be considered as a last resort if sytmptoms fail to improve with orthotics and injections. 
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