What is Morton's neuroma?
Morton's neuroma is a condition that usually gives rise to pain in the space between the 2nd-3rd or 3rd-4th toes. The symptoms are usually a sign of inflammation and nerve irritation in the region.
What causes this problem?
- The cause of Morton's neuroma is unknown.
- Tight fitting or high heeled shoes may cause the condition because of prolonged periods of compression around the nerve.
What are the signs and symptoms?
- Pain between the 2nd-3rd or 3rd-4th toes, worse with tight fitting shoes.
- Pain usually eases when footwear is removed.
- Pain can become worse with prolonged periods of walking or running.
- You may also experience numbness, tingling or a burning sensation in these toes.
How do I manage this problem?
- Wear comfortable shoes or shoes with a wide fitting.
- Change your regular shoes to observe any changes in symptoms.
- Rest from aggravating activities such as prolonged standing or walking.
- Medications such as paracetamol or ibuprufen may help to reduce inflammation and pain.
- Localised massage followed by an ice pack can help to settle mild symptoms.
What other treatments are available?
- A Podiatrist may look at your foot mechanics and alignment and advise you on specific shoes or insoles. They may offer you a pad or toe spacers to increase the space between the bones of your foot.
- Corticosteroid injection may be considered to relieve the pain if it is severe and does not settle with simple measures.
- Surgery may be considered as a last resort if sytmptoms fail to improve with orthotics and injections.