Morton’s Neuroma is a benign but painful condition that affects the ball of the foot, typically between the third and fourth toes. This condition is characterised by the growth of a fibrous tissue (neuroma) around the digital nerve leading to the toes, causing a sharp, burning pain in the ball of the foot that can also radiate to the toes. Patients often describe the discomfort as feeling like they are standing on a pebble or fold in their sock, or even having a sensation of tingling or numbness in their toes.
The exact cause of Morton’s Neuroma is not well-understood, but it’s thought to develop as a result of irritation, pressure, or injury to one of the nerves leading to the toes. Factors that may contribute to the condition include wearing high heels or tight shoes that put pressure on the toes, engaging in high-impact athletic activities, or having certain foot deformities such as bunions, hammertoes, or flatfeet.
The most common symptom of Morton’s Neuroma is a sharp or burning pain in the ball of the foot. This discomfort may radiate to the surrounding toes and intensify when walking or standing, especially when wearing shoes that squeeze the toes or put pressure on the ball of the foot.
In addition to pain, there may also be a tingling or numbing sensation in the toes. It might start as a feeling of pins and needles, which can progress to numbness. This sensation can be disconcerting, but it’s a key symptom that helps doctors differentiate Morton’s Neuroma from other foot-related conditions.
The symptoms of Morton’s Neuroma tend to come on gradually and may vary in intensity, with periods of relief followed by periods of severe discomfort. The pain might lessen when the shoes are taken off or the foot is massaged. It’s also worth noting that some people with Morton’s Neuroma don’t experience any symptoms, with the condition discovered only upon examination for other foot issues.
Treatment for Morton’s Neuroma is usually aimed at relieving the pressure on the affected nerve and reducing inflammation to manage pain and discomfort. Depending on the severity of the condition, treatments can range from conservative, non-invasive approaches to surgical interventions.
At Capital Podiatry, our main treatment options include:
Footwear Advice
One of the initial steps in managing Morton’s Neuroma is to review and, if necessary, adjust your footwear choices. Shoes that constrict the toes or place undue pressure on the ball of the foot can exacerbate symptoms. Our advice is to select comfortable footwear that provides ample room in the toe box.
Orthotics and Shoe Inserts
Orthotics and shoe inserts like metatarsal bars and metatarsal domes can assist in the conservative treatment of Morton’s Neuroma. These devices, whether over-the-counter or custom-made, can help redistribute pressure away from the affected nerve. By reducing nerve strain, these inserts can alleviate the pain associated with Morton’s Neuroma.
Foot Mobilisation Therapy (FMT)
Foot Mobilisation Therapy is a non-invasive treatment approach that can be effective in the treatment of Morton’s neuroma. This technique involves gentle manipulation and stretching of the foot to adjust the alignment. With time, such therapy can reduce the stress on the neuroma, lessen symptoms, and restore your foot to its normal function.
Dry Needling/Acupuncture with Moxa
In some situations, Dry Needling or Acupuncture combined with moxa, a traditional form of heat therapy, may be utilised. This therapy can help reduce pain and inflammation by stimulating your body’s innate healing capabilities.
It’s important to remember that every individual is unique, and treatments should be personalised to suit your specific needs.
If you’re experiencing symptoms that might indicate Morton’s Neuroma, don’t hesitate to seek help. It’s crucial to remember that the longer the condition goes untreated, the more severe your symptoms could become. You don’t need to live with the discomfort and the potential disruption to your quality of life that Morton’s Neuroma can cause. Take the first step towards relief today and book an appointment with one of our podiatrists. With the right care and treatment plan, you can get back to your usual activities without pain.
