Morton's Neuroma

Many small but crucial nerves run in between the long bones (i.e. metatarsals) situated in the balls of the feet.

A neuroma refers to the swelling of the affected nerve (and associated scar tissue) caused by compression. Patients usually present with concerns of shooting pain that may radiate into the toes, numbness and/or tingling sensations. These symptoms are aggravated when walking or performing activities on the balls of the feet. This condition is more commonly seen in women as narrow-fitting or high-heeled shoes also exacerbate it.

Anything that causes irritation to nerve can lead to the development of a neuroma. Excessive pronation (rolling in) of the foot can causes the metatarsal bones to rotate unnecessarily and contribute to pinching the interdigital nerve. Poor foot biomechanics including extremely high arches, bunions and hammertoes are also associated with neuroma formation.

Further investigation such as X-ray or Ultrasound imaging usually is not required. However if pain is particularly persistent without responding to any treatment, or if the symptoms do not correlate with plantar fasciitis then a referral will be made to confirm the diagnosis and its level of severity.

Treatment

A neuroma is typically classed as mild, moderate, or severe. For mild to moderate cases, we treat the condition using:

  • Deflective padding techniques.

  • Taping.

  • Orthotic devices.

  • Footwear modifications.

  • Acute pain relief advice includes anti-inflammatory medication, rest, icing and activity modification.

If the neuroma has reached a more severe level, invasive procedures including cortisone injections, platelet-rich plasma injections, or surgical removal of the neuroma may be advised. We will happily discuss these options in more depth with you.