Morton's Neuroma
What is Morton's Neuroma?
Morton's neuroma is a common foot condition characterized by a thickening of the tissue around one of the nerves leading to the toes, typically between the third and fourth toes. This condition can cause pain, burning, tingling, or numbness in the ball of the foot or between the toes, often described as feeling like there's a pebble or marble inside the shoe.
Causes:
Repetitive stress or pressure on the forefoot, such as from wearing tight shoes or high heels.
Foot deformities like bunions or hammertoes that can compress the nerves.
Biomechanical issues such as overpronation or abnormal foot mechanics.
Certain activities or occupations that involve prolonged standing or walking on hard surfaces.
Symptoms:
Pain or discomfort in the ball of the foot or between the toes, especially when walking or wearing shoes.
Burning, tingling, or numbness sensations in the affected area.
Feeling like there's something inside the shoe or a "clicking" sensation when walking.
Pain that radiates into the toes or up into the foot.
Symptoms that worsen with activity and improve with rest.
Treatment Options:
Footwear Modifications:
• Wear shoes with a wide toe box and low heels to reduce pressure on the forefoot.
• Avoid tight or narrow shoes, high heels, or shoes with pointed toes.
Orthotic Devices:
• Use metatarsal pads or custom orthotic inserts to provide cushioning and support for the forefoot.
• Arch supports or orthotic devices can help correct foot mechanics and reduce stress on the nerves.
Padding and Taping:
• Apply padding or tape to the affected area to help offload pressure and reduce irritation of the nerve.
• Taping techniques can help support the arch and alleviate symptoms.
Medications:
• Over-the-counter pain relievers such as ibuprofen or acetaminophen may help alleviate pain and reduce inflammation.
• Topical creams or gels containing menthol or lidocaine may provide temporary relief when applied to the affected area.
Steroid Injections:
• Corticosteroid injections may be recommended to reduce inflammation and provide short-term pain relief.
• These injections are usually performed by a healthcare professional and can provide relief for several weeks to months.
Physical Therapy:
• A physical therapist can provide exercises to strengthen the muscles of the foot and ankle, improve flexibility, and correct biomechanical issues contributing to Morton's neuroma.
Prevention:
Wear properly fitting shoes with adequate cushioning and support, especially if you have foot deformities or biomechanical issues.
Avoid high-impact activities or excessive walking or standing on hard surfaces.
Perform regular stretching exercises to maintain flexibility in the foot and ankle muscles.
Listen to your body and rest if you experience pain or discomfort.
When to Seek Medical Attention:
If conservative treatments do not improve symptoms after several weeks.
If pain is severe or interfering with daily activities.
If there is swelling, redness, or warmth in the affected area.
If you have difficulty bearing weight on the affected foot.
Final Thoughts
Morton's neuroma can be a painful and frustrating condition, but with proper treatment and self-care, most people experience significant improvement in symptoms. It's essential to be patient and consistent with your treatment plan, and don't hesitate to seek medical attention if you have concerns or your symptoms persist.
For personalized advice and treatment recommendations, consult with an orthopedic specialist.
