Morton's Neuroma

10 min read

Morton's neuroma is a condition that affects the nerves between the toes, usually the third and fourth toes. It is caused by the thickening of the tissue around the nerve, which leads to pain, burning, and tingling in the affected area. It is most commonly seen in women, and is usually caused by wearing tight or high-heeled shoes. It can also be caused by activities that involve repetitive motions of the foot, such as running or dancing.

Morton's neuroma is a common condition, and can be treated with a variety of methods. These include rest, ice, anti-inflammatory medications, orthotics, and physical therapy. In some cases, surgery may be necessary to remove the affected nerve.

If you think you may have Morton's neuroma, it is important to see a doctor for a proper diagnosis. Your doctor will be able to determine the best course of treatment for your condition.

Symptoms

Common Symptoms of Morton's Neuroma

  • Pain in the ball of the foot, which may radiate to the toes
  • A feeling of numbness or tingling in the toes
  • A burning sensation in the toes
  • A feeling of having a pebble in your shoe
  • Pain that worsens when walking or standing

If you experience any of these symptoms, it is important to seek medical attention as soon as possible. Your doctor can diagnose Morton's neuroma and recommend treatment options to help relieve your pain.

Take the Morton's Neuroma Assessment

Causes

Common Causes of Morton's Neuroma

Morton's neuroma is most commonly caused by wearing tight or narrow shoes, or shoes with high heels. This type of footwear can put pressure on the toes and the nerve, leading to the thickening of the tissue. Other causes of Morton's neuroma include:

  • Injury or trauma to the foot
  • Arthritis
  • Flat feet
  • High-impact activities such as running or jumping

Risk Factors for Morton's Neuroma

Certain factors can increase your risk of developing Morton's neuroma. These include:

  • Being female
  • Being over the age of 40
  • Having a foot deformity such as bunions or hammertoes
  • Having a job that requires you to stand or walk for long periods of time

Conclusion

Morton's neuroma is a painful condition that can be caused by wearing tight or narrow shoes, injury or trauma to the foot, arthritis, flat feet, and high-impact activities. Certain factors can increase your risk of developing Morton's neuroma, such as being female, being over the age of 40, having a foot deformity, or having a job that requires you to stand or walk for long periods of time.

Getting a Diagnosis

Physical Examination

The first step in diagnosing Morton's neuroma is a physical examination. During the exam, the doctor will look for signs of swelling, tenderness, and pain in the affected area. They may also press on the area to see if it causes pain. This can help the doctor determine if the pain is coming from the nerve or from another source.

Imaging Tests

Imaging tests such as X-rays, MRI scans, and ultrasound can be used to diagnose Morton's neuroma. X-rays can help the doctor determine if there is any bone damage or deformity in the area. MRI scans can help the doctor see if there is any swelling or inflammation of the nerve. Ultrasound can help the doctor see if there is any thickening of the tissue around the nerve.

Nerve Conduction Studies

Nerve conduction studies can also be used to diagnose Morton's neuroma. During this test, electrodes are placed on the skin near the affected area. The electrodes measure the electrical activity of the nerve and can help the doctor determine if there is any damage or irritation to the nerve.

Treatment

Once the diagnosis of Morton's neuroma has been made, treatment can begin. Treatment options include rest, ice, anti-inflammatory medications, and physical therapy. In some cases, surgery may be necessary to remove the thickened tissue and relieve the pressure on the nerve.

Questions for Your Doctor

Symptoms

Describe your symptoms to your doctor. This includes any pain, burning, tingling, or numbness you are feeling in your foot. Also, let your doctor know if the pain is worse when you are standing or walking. It is important to be as detailed as possible when describing your symptoms.

Medical History

Your doctor will want to know your medical history, including any previous injuries or surgeries you have had on your foot. Also, let your doctor know if you have any other medical conditions that may be contributing to your symptoms.

Treatment Options

Your doctor will discuss treatment options with you. These may include rest, ice, over-the-counter pain medications, or custom orthotics. In some cases, surgery may be recommended. Your doctor will discuss the risks and benefits of each option with you.

Follow-up Care

Your doctor will likely recommend follow-up care to monitor your progress. This may include regular check-ups or physical therapy. Be sure to ask your doctor any questions you may have about your treatment plan.

Conclusion

If you are experiencing pain in your foot, it is important to discuss it with your doctor. Be sure to discuss your symptoms, medical history, treatment options, and follow-up care with your doctor. With the right treatment plan, you can manage your Morton's neuroma and reduce your pain.

Treatment

Non-Surgical Treatments

Non-surgical treatments are the first line of defense against Morton's neuroma. These treatments include:

  • Resting the foot and avoiding activities that cause pain
  • Wearing wider shoes with a low heel and soft sole
  • Using orthotic devices to reduce pressure on the affected area
  • Taking over-the-counter pain medications such as ibuprofen or acetaminophen
  • Applying ice to the affected area
  • Using corticosteroid injections to reduce inflammation

Surgical Treatments

If non-surgical treatments fail to provide relief, surgery may be necessary. The most common surgical procedure for Morton's neuroma is a neurectomy, which involves removing the affected nerve. Other surgical options include:

  • Decompression surgery to relieve pressure on the nerve
  • Neuroma excision to remove the affected nerve
  • Neuroma resection to remove part of the affected nerve

Surgery is usually successful in relieving the pain and discomfort associated with Morton's neuroma. However, it is important to note that surgery carries risks, such as infection and nerve damage.

Conclusion

Morton's neuroma is a painful condition that can be treated with both non-surgical and surgical treatments. Non-surgical treatments such as rest, orthotics, and medications can often provide relief. If these treatments fail, surgery may be necessary. It is important to discuss all treatment options with your doctor to determine the best course of action for your individual situation.

Drugs & Medications

Symptoms of Morton's Neuroma

The most common symptom of Morton's neuroma is a sharp, burning pain in the ball of the foot that radiates to the toes. Other symptoms may include numbness, tingling, and a feeling of having a pebble in the shoe. The pain may worsen when walking or standing for long periods of time, or when wearing tight or high-heeled shoes.

Diagnosis of Morton's Neuroma

To diagnose Morton's neuroma, your doctor will perform a physical exam and ask about your symptoms. Your doctor may also order imaging tests, such as an X-ray or MRI, to confirm the diagnosis. In some cases, a biopsy may be necessary to rule out other conditions.

Treatment for Morton's Neuroma

Treatment for Morton's neuroma typically begins with rest, ice, and over-the-counter pain medications. Your doctor may also recommend wearing shoes with a wide toe box and low heels, as well as using orthotic devices to reduce pressure on the affected area. In more severe cases, surgery may be necessary to remove the affected nerve.

Prevention of Morton's Neuroma

To help prevent Morton's neuroma, it is important to wear shoes that fit properly and provide adequate support. Avoid wearing tight or high-heeled shoes, and take breaks from standing or walking for long periods of time. If you have an injury to the foot, it is important to seek medical attention as soon as possible.

Diet

Foods to Eat

Eating a healthy, balanced diet is important for managing Morton's neuroma. Foods that are high in anti-inflammatory properties, such as omega-3 fatty acids, can help reduce inflammation and pain. Foods that are rich in antioxidants, such as fruits and vegetables, can also help reduce inflammation and improve overall health. Additionally, foods that are high in vitamin B6, such as nuts, seeds, and legumes, can help reduce nerve pain.

Foods to Avoid

Certain foods can worsen the symptoms of Morton's neuroma. Foods that are high in sugar and saturated fats can increase inflammation and worsen pain. Additionally, foods that are high in sodium can cause fluid retention, which can lead to swelling and discomfort. It is important to avoid processed foods and foods that are high in trans fats, as these can also increase inflammation.

Conclusion

While there is no specific diet that can cure Morton's neuroma, eating a healthy, balanced diet can help reduce the symptoms and improve overall health. Eating foods that are high in anti-inflammatory properties, antioxidants, and vitamin B6 can help reduce inflammation and pain. Additionally, avoiding foods that are high in sugar, saturated fats, sodium, and trans fats can help reduce inflammation and improve overall health.

Lifestyle

Wear the Right Shoes

Wearing the right shoes is essential for managing Morton's neuroma. Shoes should have a wide toe box to give the toes plenty of room to move. Shoes should also have good arch support and cushioning to reduce pressure on the ball of the foot. Avoid wearing high heels or shoes with a narrow toe box, as these can aggravate the condition.

Take Breaks

Standing or walking for long periods of time can put extra pressure on the ball of the foot and worsen the pain of Morton's neuroma. Take regular breaks throughout the day to give your feet a rest. If you must stand for long periods of time, try to shift your weight from one foot to the other to reduce the pressure on the affected area.

Ice the Foot

Applying ice to the affected area can help reduce inflammation and pain. Wrap an ice pack in a towel and apply it to the ball of the foot for 15 minutes at a time, several times a day. You can also try soaking your foot in a bucket of cold water for 10 minutes.

Stretch the Foot

Stretching the foot can help reduce the pain of Morton's neuroma. Try gently stretching the toes and the arch of the foot several times a day. You can also try rolling a tennis ball under the foot to massage the affected area.

See a Doctor

If lifestyle changes are not enough to reduce the pain of Morton's neuroma, it is important to see a doctor. Your doctor may recommend medications, physical therapy, or even surgery to help manage the condition.