Morton's Neuroma

Morton's neuroma is a common foot condition characterized by a benign growth of nerve tissue in the ball of the foot, typically between the third and fourth toes.

Causes and Risk Factors

• Compression or irritation of the nerve, often due to poor footwear or abnormal foot mechanics
• Repetitive stress or trauma to the foot, such as from running or jumping
• Abnormal toe alignment or gait
• Foot deformities, such as bunions or hammertoes
• High-heeled shoes or shoes with tight toe boxes

Symptoms

• Pain or discomfort in the ball of the foot, often described as sharp, burning, or stabbing
• Numbness or tingling in the toes
• Swelling or inflammation in the affected area
• Sensation of a lump or mass in the ball of the foot
• Pain that worsens with activity or pressure on the foot

Diagnosis

Diagnosis is typically made through a combination of:

• Medical history and physical examination
• Palpation (feeling) of the affected area to identify tenderness or masses
• Imaging studies, such as X-rays or ultrasound, to rule out other conditions

Treatment Options

Treatment for Morton's neuroma may include:

• Conservative measures:
  • Rest and ice to reduce pain and inflammation
  • Modifying footwear to reduce pressure on the foot
  • Orthotics or shoe inserts to redistribute pressure
  • Physical therapy to improve foot mechanics and reduce stress on the nerve
• Medications:
  • Pain relievers, such as acetaminophen or ibuprofen
  • Corticosteroid injections to reduce inflammation
• Surgical options:
  • Neurectomy (removal of the affected nerve tissue)
  • Decompression surgery to relieve pressure on the nerve

Prevention

To reduce the risk of developing Morton's neuroma:

• Wear proper-fitting shoes with adequate support and cushioning
• Avoid high-heeled shoes or shoes with tight toe boxes
• Maintain a healthy weight to reduce pressure on the foot
• Engage in regular exercise to improve foot mechanics and strength