What is Morton’s Neuroma?

Morton’s Neuroma is a thickening of the tissue that surrounds the nerve supplying the digits (toes). Patients commonly complain of a pain at the ball of the foot that feels like a stone or marble. The condition can cause nerve pain such as tingling, pins and needles or numbness.  This digital neuritis often occurs at the webspace between the third and fourth toes however can occur between any of the digits.

Who does it effect?

This condition can affect anyone, sprinters may experience it due to the compression of the nerve from pushing off at the start blocks.

Those wearing high heels can experience it, similarly due to the toes/forefoot position because of a heightened heel.

Tight, narrow shoes are a large factor contributing to the condition.

What else could it be?

-Stress fracture

– Capsulitis (aggravated joint capsule)

-Systemic causes such as Rheumatoid Arthritis

-Corn, Callus, Verruca.

-Foreign Body.

How can A Podiatrist Help?

A Podiatrist will analyse symptoms, medical history, footwear, activity changes and biomechanics. These factors alongside range of motion, mobility and strength tests will guide the Podiatrist to a diagnosis. Imaging such as x-ray can be used to rule out differential diagnosis such as fractures.

Treatment

Treatment can include footwear changes, Orthotic use, stretching and strengthening. Other treatments used for Morton’s neuroma include:

-Corticosteroid injections.

-Shockwave therapy.

-laser therapy.

-Foot and ankle mobilisations.

– Neurectomy (Surgery to remove the affected area of the nerve).