Morton’s Neuroma: Causes, Symptoms, and Treatment

Reviewed By – Dr. Sameer Gohir
PhD, MSc, PG Cert MSK ultrasound, PG Cert. Non-Medical Prescribing, MCSP, MAPPN

What Is Morton’s Neuroma?

Morton’s neuroma is a painful condition affecting the nerves between the toes, most commonly between the third and fourth toes. It occurs when a nerve becomes irritated and thickened, leading to symptoms such as pain, tingling, and a sensation of having a pebble in the shoe.

If forefoot pain or numbness from Morton’s neuroma is making it hard to walk or enjoy daily activities, you don’t have to manage it alone. With clinics near Kent and Essex, Joint Injection Clinic offers expert treatments to help relieve pain and support your mobility.

Schedule your consultation now!
Mortons-Neuroma Treatment near Kent and Essex

Common Causes of Morton’s Neuroma

The exact cause of Morton’s neuroma remains somewhat unclear, but several factors contribute to its development:

  • Footwear Choices: Wearing tight, pointy, or high-heeled shoes increases pressure on the toe area, aggravating the condition. Such footwear can compress the nerves and exacerbate symptoms.
  • High-Impact Activities: Engaging in activities that put excessive pressure on the feet, such as running or certain court sports, may lead to nerve irritation.
  • Foot Structure and Deformities: Conditions like flat feet, bunions, high arches, or hammertoes can alter foot mechanics and increase stress on the nerves in the forefoot.
  • Trauma: Previous injuries, such as fractures in the metatarsals or direct damage to the nerves from physical impact, can also predispose individuals to develop Morton’s neuroma.
  • Weight: Being overweight adds additional stress on the feet, which can intensify the condition.

Symptoms of Morton’s Neuroma

The primary symptoms of Morton’s neuroma include:

  • Pain: A sharp, burning pain in the ball of the foot, often intensifying when standing, walking, or wearing tight shoes.
  • Numbness and Tingling: Feelings of tingling or numbness in the affected toes are common.
  • Sensation of Pebbles: Patients often describe the sensation of a pebble or lump under the foot.

Treatment Options

Non-Surgical Treatment for Morton’s Neuroma

Treatment for Morton’s neuroma generally begins with conservative measures before considering more invasive options:

  • Footwear Modification: Wearing wider shoes with a low heel and a deep toe box can significantly reduce pressure on the neuroma. Avoiding high heels is crucial.
  • Padding and Orthotics: Using metatarsal pads or custom orthotic inserts can relieve pressure on the affected nerve.
  • Physiotherapy: Exercises aimed at stretching and strengthening the foot can improve symptoms.
  • Medications: Over-the-counter pain relievers (such as ibuprofen or acetaminophen) can manage inflammation and pain.
  • Steroid Injections: Corticosteroid injections may also help reduce swelling and pain.

Advanced Treatment Options for Morton’s Neuroma

If symptoms persist despite conservative treatment, more invasive options may include:

  • Surgical Intervention: In cases where pain and discomfort continue unabated, a neurectomy to remove part of the affected nerve may be recommended. Other surgical options like radiofrequency ablation may also be considered to reduce nerve sensitivity.
  • Alternative Treatments: Some patients benefit from alternative therapies, including ultrasound therapy or acupuncture, although these methods may vary in effectiveness.

Conclusion

While Morton’s neuroma can be a painful and frustrating condition, it is manageable with the right approach. Immediate attention to footwear, along with conservative treatments, often leads to relief. If symptoms do not improve, consulting a healthcare provider for further evaluation and potential surgical options may be necessary. Early diagnosis and treatment are critical to preventing long-term complications.

Get Help for Morton’s Neuroma at Joint Injection Clinic

If Morton’s neuroma is causing burning pain, tingling, or numbness in your forefoot, you don’t have to face it alone. At Joint Injection Clinic, our experienced team offers evidence-based treatments to reduce pain and improve your comfort while walking.

We welcome patients at all three of our clinics:

Dartford Clinic – ideal for those in Kent and South East London

Address: Unit 30, 1st Floor, The Base Dartford Business Park, Victoria Road, Dartford, DA1 5FS.

Romford Clinic – easily accessible from Essex and Greater London

Address: Room no 8, Alliance Office Space 2-4 Eastern Road, Romford, Essex, RM1 3PJ.

Canterbury Clinic – serving East Kent and surrounding areas

Address: 12-17 Upper Bridge Street, Canterbury, CT1 2NF, United Kingdom.


From ultrasound-guided assessments and targeted injections to tailored rehabilitation plans, our specialists can help manage forefoot pain effectively and support your return to daily activities confidently.

Schedule your consultation now!