Morton's Neuroma, also known asintermetatarsal neuralgia, is a condition characterized by aching, burning, or numbness between the third and fourth toes of the foot. It is often caused by repeated pressure or irritation of the plantar nerves on the ball of the foot. This condition can be difficult to diagnose, as there are no outward signs or symptoms. Below we have compiled a list of what we believe are 10 common signs of Morton's Neuroma:
- Persistent foot pain:
Pain is the most common symptom of Morton's Neuroma. It is typically described as a sharp or burning sensation in the ball of the foot or between the toes. The pain may worsen with activity or when wearing tight footwear. - Tingling or numbness:
Individuals with Morton's Neuroma may experience tingling or numbness in their toes or the ball of the foot. This sensation can come and go, or linger for periods at a time. - Feeling of a lump or nodule:
Some patients may feel a lump or nodule between their toes, particularly when walking or standing. This sensation can be tender or accompany swelling in the affected area. - Pain relief with rest:
Often, resting the foot can provide temporary relief from Morton's Neuroma symptoms. However, this relief may not be sustained if the underlying cause of the condition is not addressed. - Worsening pain with certain activities:
Specific activities that place pressure on the forefoot, such as running, walking, or wearing high heels, may exacerbate Morton's Neuroma symptoms. Individuals may notice an increase in pain during or after engaging in these activities. - Difficulty walking or standing:
As Morton's Neuroma progresses, individuals may experience difficulty walking or standing for extended periods, due to the discomfort and pain associated with the condition. This can impact daily activities and quality of life. - Pain radiating into the toes:
In some cases, the pain from Morton's Neuroma may radiate into the toes adjacent to the affected area, causing discomfort and affecting mobility. This can make it challenging to pinpoint the exact location of the problem. - Sensitivity to pressure:
Applying pressure to the affected area, such as squeezing the forefoot or pressing on the space between the toes, may elicit pain or discomfort in individuals with Morton's Neuroma. This sensitivity to pressure is a common characteristic of the condition. - Changes in foot structure:
Over time, Morton's Neuroma may lead to changes in foot structure, such as the development of hammertoes or calluses on the bottom of the foot. These changes may result from alterations in gait and foot mechanics due to pain and discomfort. - Limited range of motion:
Individuals with Morton's Neuroma may experience a limited range of motion in the affected foot, particularly when bending or flexing the toes. This stiffness and restriction of movement can further contribute to pain and discomfort.
It is important to note that while these signs and symptoms are commonly associated with Morton's Neuroma, they can also be indicative of other conditions or injuries. If you experience any foot pain, it is recommended to consult with a healthcare professional, such as a podiatrist, for proper diagnosis and treatment. They will be able to determine if you have Morton's Neuroma, and provide you with the appropriate course of treatment based on your individual needs and case history. - Morton's Neuroma treatment options:
Treatment for Morton's Neuroma typically aims to alleviate symptoms by reducing pressure on the affected nerve. This can be achieved through the use of orthotics, changes in footwear, medication, physical therapy or steroid injections. In cases where conservative measures are ineffective, surgical intervention may also be necessary. Your healthcare provider will work with you to develop a personalized treatment plan that may include one or more of the following:
- Custom orthotics: Customized foot orthotics can help reduce pressure on the affected nerve by altering the distribution of forces on the forefoot.
- Shoe modifications: Wearing shoes with a wider toe box or low heel can help distribute pressure more evenly across the foot.
- Medication: Anti-inflammatory medications such as ibuprofen can help reduce swelling and inflammation. Injections of corticosteroids can also be used to reduce pain and swelling.
- Physical therapy: A physical therapist can teach you exercises to help strengthen the supportive structures of the foot and improve circulation.
- Injection therapy: Nerve blocks or ablation injections can help reduce pain by blocking the sensory nerves that are responsible for conveying pain signals.
- Surgery: In cases where other treatments have failed, surgical intervention may be necessary to remove the affected nerve or release tension on the surrounding tissue. Decompression surgery, where pressure on the nerve is relieved by cutting ligaments and other structures around the nerve, or neurectomy (removal of part of the nerve) may be considered.
It is important to consult with a healthcare professional before attempting any home remedies or DIY treatments for Morton's Neuroma. Your healthcare provider can advise you on which treatments are likely to be effective for your specific case, and can help you avoid potentially harmful approaches.
