A Morton’s neuroma usually presents as a “burning” or “sharp” pain, commonly in the area of the ball of the foot. A Morton’s neuroma exists when the nerve(s) that run between the metatarsal bones in your foot (at the bases of the toes) becomes irritated and swollen (inflamed).

The area between the 3rd and 4th toes is most commonly affected, but it can happen in any of the toes. Friction and pressure from these bones on the nerve causes it to become painful and inflamed. Tingling or numbness that runs into the toes corresponding with the affected area can also occur. Increases in activity usually worsen the symptoms as does being on the feet for a long time.

Poor footwear (e.g. shoes that squeeze the forefoot together or shoes with minimal cushioning), biomechanical problems (e.g. the bones in the foot move around too much), or a flat arch and certain activities or injuries are some of the predisposing factors for a Morton’s neuroma.

A diagnosis can usually be made clinically by a podiatrist, but in some cases an ultrasound scan is needed to make a definitive diagnosis as well as to establish the position and size of the neuroma. Modifications or additions to footwear, orthotics to correct biomechanical problems, barefoot rehabilitation training to strengthen intrinsic muscles of the feet, anti-inflammatory agent and changing shoe styles are some of the treatment modalities available for this condition. In very server cases, an ultrasound guided cortisone injection may be necessary. Surgery is only considered as a last resort.

If you live in Mount Hawthorn, North Perth or Leederville see one of the Podiatrists at Oxford Street Podiatry for treatment of your Morton’s neuroma