Morton’s neuroma is a common cause of forefoot pain (metatarsalgia), first described in 1876 by Thomas Morton. It involves inflammation and enlargement of a nerve between the metatarsal heads, most often between the third and fourth toes. Though not a tumor in the malignant sense, the nerve thickens due to repeated injury and compression, often caused by tight, high-heeled, or hard-soled shoes.

 

Symptoms
• Pain or numbness in the ball of the foot, radiating to the toes.
• A feeling of walking on a pebble.
• Sharp snapping sensations in the foot.

Diagnosis

Early diagnosis can be challenging as symptoms progress over time. Physical exams and imaging like ultrasound or MRI can confirm the condition.

Treatment Options
1. Non-Surgical:
• Wide, soft shoes with padding.
• Metatarsal pads for pressure relief.
• Cortisone injections to reduce swelling.
2. Surgical:
• Nerve removal, successful in 90-95 %of cases.
• Post-surgery numbness in toes is common but manageable.

Complications
• Stump Neuroma: Persistent pain at the cut nerve end, potentially requiring further surgery.
• Infection: Swelling or bleeding post-surgery can lead to infection. Rest and elevation are critical.

Early intervention with footwear adjustments and conservative treatment can often prevent the need for surgery. Consult our specialist for proper diagnosis and a tailored treatment plan for Mortons Neuroma.