Morton's Neuroma

Morton’s neuroma is a distressing foot condition that frequently affects the regions between the third and fourth toes, as well as the ball of the foot. However, it can also manifest in other areas of the foot. This condition arises due to the inflammation of a nerve in the foot, which becomes compressed and irritated by surrounding bones. While Morton’s neuroma can impact both men and women, it is more commonly observed in women. Those afflicted often describe the sensation as akin to walking on pebbles or marbles.

Several risk factors heighten the likelihood of developing Morton’s neuroma. Wearing ill-fitting high heels or shoes that place undue pressure on the toes or foot can contribute to the condition. Activities that involve repetitive foot impact, such as jogging or running, also increase susceptibility. Furthermore, individuals with flat feet, bunions, or other foot deformities are at a higher risk of developing Morton’s neuroma.

While there is no singular definitive sign of Morton’s neuroma, there are specific symptoms to watch for. Burning sensations in the ball of the foot, tingling, and numbness in the toes are indicative of the condition. Pain typically intensifies when wearing shoes or engaging in physical activity, with minimal to no discomfort experienced at night.

If you suspect you may have Morton’s neuroma, it is advisable to seek a professional evaluation from Dr. James Mazur, DPM. During an examination, Dr. Mazur will assess for palpable masses between the foot bones and apply pressure to replicate the pain experienced during activity. Range of motion tests and X-rays may also be conducted to rule out alternative conditions.

Treatment for Morton’s neuroma may start with straightforward changes in footwear. Choosing wider or flat shoes with soft soles can alleviate pressure on the affected nerve. In cases where symptoms persist, a cortisone injection may be recommended to reduce swelling and alleviate pain in the foot.

Should conservative treatments prove ineffective, consulting with an orthopedic surgeon is a viable option. During this consultation, patients will receive detailed information about the available treatment approaches for Morton’s neuroma. Surgical interventions may involve releasing the tissue around the nerve causing the discomfort or, in some cases, removing a small section of the nerve. The recovery period for such surgeries is typically brief, allowing patients to swiftly return to their regular activities, free from the burden of Morton’s neuroma discomfort.