Morton's Neuroma

Morton's neuroma is a common foot condition characterized by a benign growth of nerve tissue in the ball of the foot, typically between the third and fourth toes.

Causes and Risk Factors

• Compression or irritation of the nerve, often due to poor footwear or abnormal foot mechanics
• Repetitive stress or trauma to the foot, such as from running or jumping
• Abnormal toe alignment or gait
• Foot deformities, such as bunions or hammertoes
• High-heeled shoes or shoes with tight toe boxes

Symptoms

• Pain or discomfort in the ball of the foot, often described as sharp, burning, or stabbing
• Numbness or tingling in the toes
• Swelling or inflammation in the affected area
• Sensation of a lump or mass in the ball of the foot
• Pain that worsens with activity or pressure on the foot

Diagnosis

Diagnosis is typically made through a combination of:

• Medical history and physical examination
• Palpation (feeling) of the affected area to identify tenderness or masses
• Imaging studies, such as X-rays or ultrasound, to rule out other conditions

Treatment Options

Treatment for Morton's neuroma may include:

• Conservative measures:
  • Rest and ice to reduce pain and inflammation
  • Modifying footwear to reduce pressure on the foot
  • Orthotics or shoe inserts to redistribute pressure
  • Physical therapy to improve foot mechanics and reduce stress on the nerve
• Medications:
  • Pain relievers, such as acetaminophen or ibuprofen
  • Corticosteroid injections to reduce inflammation
• Surgical options:
  • Neurectomy (removal of the affected nerve tissue)
  • Decompression surgery to relieve pressure on the nerve

Prevention

To reduce the risk of developing Morton's neuroma:

• Wear proper-fitting shoes with adequate support and cushioning
• Avoid high-heeled shoes or shoes with tight toe boxes
• Maintain a healthy weight to reduce pressure on the foot
• Engage in regular exercise to improve foot mechanics and strength

Frequently Asked Questions (FAQs)

What is Morton's neuroma?
A benign growth of nerve tissue in the foot.

Where does Morton's neuroma typically occur?
Between the third and fourth toes.

What are the symptoms of Morton's neuroma?
Pain, numbness, tingling, and burning in the ball of the foot.

What causes Morton's neuroma?
Irritation or compression of the nerve.

Is Morton's neuroma related to poor footwear?
Yes, tight or high-heeled shoes can contribute.

Can Morton's neuroma be treated with rest?
Yes, resting the foot can help alleviate symptoms.

Are there any exercises for Morton's neuroma?
Stretching and toe spreads can help relieve pressure.

Can Morton's neuroma be treated with injections?
Yes, corticosteroid injections can reduce inflammation.

Is surgery an option for Morton's neuroma?
Yes, in severe cases, surgical removal of the neuroma may be necessary.

Can Morton's neuroma be prevented?
Wearing proper footwear and maintaining good foot mechanics can help.