Morton’s Neuroma, scientifically termed inter-metatarsal neuroma, presents as a thickening of tissue around the nerve nestled between the third and fourth toes. This condition often arises from repeated compression or irritation of the nerve, commonly exacerbated by the wearing of tight or high-heeled footwear. The discomfort associated with Morton’s Neuroma can progressively worsen over time, impacting daily activities and overall foot health. Understanding the symptoms, causes, and treatment options for this condition is crucial for effective management and relief.

Identifying Symptoms

Initially, symptoms may appear sporadically during activity or while wearing certain shoes, worsening over time. Symptoms mainly affect the ball of the foot, including:

• Tingling
• Numbness
• Burning
• The sensation of a sock bunching up or a pebble in the shoe

Diagnoses and Treatment of Morton’s Neuroma

Diagnosis involves a podiatrist's physical examination, tests, and possibly imaging. Treatment ranges from conservative to surgical, with early detection improving conservative treatment success.

Conservative Options: These treatments aim to alleviate symptoms and reduce nerve compression without resorting to surgery. These methods include:

• Icing: Applying ice to the affected area can help reduce inflammation and numbness, providing temporary pain relief.
• Custom Orthotics: Podiatrists may recommend custom-designed orthotic inserts to redistribute pressure, reducing compression on the affected nerve.
• Anti-inflammatory Drugs: Nonsteroidal anti-inflammatory drugs (NSAIDs) like ibuprofen can help reduce pain and inflammation.
• Footwear Modifications: Wearing shoes with a wider toe box and lower heel can reduce pressure on the forefoot, easing discomfort.
• Cortisone Injections: In some cases, corticosteroid injections may be administered to reduce inflammation and pain.

Surgery: If conservative measures fail, surgery may be needed to remove the affected nerve and release tight ligaments.

Ignoring Morton’s neuroma can lead to permanent damage. Therefore, prompt evaluation and treatment by a podiatrist are essential if experiencing symptoms.