Morton’s neuroma: symptoms, causes, and treatment

Morton’s neuroma, also known as Morton’s syndrome or Morton’s disease, is a common condition that causes sharp pain in the forefoot. In this article, we explain everything you need to know about its causes, symptoms, and the available treatments to relieve the discomfort caused by Morton’s neuroma.

What is Morton’s neuroma?

Morton’s neuroma is a compression of the interdigital nerve, usually occurring between the 3rd and 4th metatarsals, or between the 2nd and 3rd metatarsals. This results in sharp pain, burning sensations, and tingling in the forefoot. Some individuals describe the feeling as if they constantly have a pebble in their shoe.

What are the symptoms of Morton’s neuroma?

Morton’s neuroma typically causes intense pain in the ball of the foot, particularly underneath and toward the front. Many patients report a burning sensation or tingling. Other common warning signs include:

  • Intermittent or persistent pain in the forefoot
  • A sensation of a “pebble” or “lump” under the foot
  • Increasing discomfort while walking or standing for extended periods
  • Temporary numbness between the affected toes
  • Heightened sensitivity when wearing tight or high-heeled shoes
  • Pain that intensifies after physical activity

These symptoms may worsen over time if the nerve compression is left untreated. Early intervention is essential. We recommend consulting a healthcare professional or scheduling a biomechanical assessment to determine the underlying cause of your pain.

 

What causes Morton’s neuroma

As outlined above, Morton’s neuroma is primarily caused by compression of the interdigital nerve. This compression is often due to mechanical factors, most notably wearing tight or high-heeled shoes that place excess pressure on the front of the foot.

Other foot pain that alters weight distribution can also increase the risk of developing Morton’s neuroma. For example, individuals with flat foot, cavoid feet, or bunions are more susceptible. It is important to address these issues promptly to reduce the likelihood of developing a Morton’s neuroma.

Repetitive sports activities, such as running or sports involving stiff footwear, also heighten the risk. Prolonged stress on the feet through running or jumping can contribute significantly to the development of this condition.

Now that you are familiar with the causes, let’s look at the available treatment options for relief and prevention.

 

Morton’s neuroma treatment

Initial treatment of Morton’s neuroma typically involves conservative approaches such as rest and ice application to reduce inflammation and alleviate pain. Targeted exercises may also be recommended to stretch and strengthen the foot, improving mobility and reducing nerve pressure.

If Morton’s neuroma symptoms persist despite these methods, more specialized solutions can be considered.

The use of foot orthoses to relieve Morton's neuroma pain

Opting for a custom foot orthotic can significantly reduce discomfort by providing optimal support and minimizing friction within the shoe. It is essential to choose an orthotic that includes a metatarsal dome, which helps reduce compression on the interdigital nerve thereby relieving pain and preventing Morton’s neuroma symptom progression. By visiting one of our clinics, you can benefit from the expertise of our orthotists, who will design a custom-made foot orthotic tailored to your foot’s anatomy.

Proper footwear

Footwear plays a crucial role in both the treatment and prevention of Morton’s neuroma. It is vital to wear shoes that support the natural structure of the foot, as this helps minimize pressure on the forefoot and prevents irritation or compression of the interdigital nerve. Ideally, the shoes should have a heel height of less than one inch and feature a thick, supportive sole, preferably a rocker sole, for optimal weight distribution and comfort. We strongly recommend choosing orthopedic footwear designed to alleviate pain and provide effective support throughout the recovery process.

Morton's neuroma surgery

Surgery is generally considered a last resort for treating Morton’s neuroma. Your physician will typically suggest trying conservative measures before recommending a surgical intervention. The goal of surgery is to remove the neuroma or decompress the affected nerve, offering lasting pain relief.

Personalized support for treating Morton’s neuroma

If you suspect you may have Morton’s neuroma, we strongly recommend consulting your healthcare provider or visiting one of our clinics to meet with a certified orthotist.

Thanks to their expertise, our professionals can offer a tailored Morton’s neuroma treatment plan to help relieve your pain and address the condition effectively. Don’t hesitate to reach out for personalized care. Book your appointment online today!