Morton’s neuroma is a painful condition that affects the ball of the foot, typically occurring between the third and fourth toes. It is caused by thickening or enlargement of the tissue surrounding one of the digital nerves leading to the toes. This thickened tissue places pressure on the nerve, resulting in pain, discomfort, and sometimes numbness in the affected area. Morton’s neuroma is commonly associated with activities or footwear that place excessive stress on the forefoot, such as high-heeled or narrow shoes, and it tends to affect individuals who engage in repetitive impact activities, such as running or certain sports.
1. Pain between the toes: The most characteristic symptom of Morton’s neuroma is a sharp or burning pain between the toes, typically felt at the metatarsal heads (the base of the toes).
2. Discomfort during walking or standing: The pain often worsens when weight is placed on the forefoot, such as during walking, running, or standing for prolonged periods.
3. Numbness or tingling: Some individuals report numbness or a tingling sensation in the toes, which may extend along the affected nerve.
4. Sensation of a foreign object: Patients frequently describe the sensation of having a pebble or marble under the ball of their foot, even though nothing is present.
Managing Morton’s neuroma involves both conservative and, in some cases, surgical approaches. Early intervention is key to preventing the condition from worsening.
1. Appropriately fitting footwear: Wearing shoes with a wide toe box and low heels can significantly reduce pressure on the forefoot, relieving symptoms. Shoes that do not constrict the toes are essential for minimizing nerve compression.
2. Foot orthotics with metatarsal support: Custom or over-the-counter orthotic inserts designed with a metatarsal pad can help redistribute pressure across the foot, alleviating stress on the affected nerve. This support reduces irritation and allows for more comfortable movement.
3. Anti-inflammatory medication: Non-steroidal anti-inflammatory drugs (NSAIDs) can be used to manage pain and inflammation.
4. Cortisone injections: In more severe cases, corticosteroid injections may be administered to reduce inflammation and provide longer-lasting relief from pain.
If conservative measures fail to provide adequate relief, surgical intervention may be considered. Surgery involves removing the affected nerve or releasing the tissue surrounding it. While surgery has a high success rate, it carries some risks, including numbness in the toes.
By adopting proper footwear, using orthotics, and seeking timely medical care, most individuals can manage Morton’s neuroma effectively and avoid the need for surgery.