Have you ever had a pebble in your shoe? A foot condition called Morton’s Neuroma can feel like you are walking on a small rock or marble except that there isn’t something inside your shoe.
A neuroma is a benign tumor of the nerve and occurs most often between the third and fourth toes.
Make Smart Shoe Choices
- Switch high heels for lower heels to avoid the forefoot “pushing-off” when walking
- Try wider shoes with a cushioned insole that do not compress the toe bones
- Avoid tight fitting shoes; allow ample room in the toe box
What are the symptoms of Morton’s Neuroma?
- Pain in the forefront of the foot that radiates into the toes
- Burning or tingling
- Sensation of a foreign object under the foot
- Pain when touching the affected toes
Diagnosing Morton’s Neuroma
During the examination, I feel for a literal “click” when applying pressure to the toes. I apply pressure between the toe bones to try and replicate the pain or look for evidence of what may be causing the pain. In difficult to diagnose cases, I can use ultrasound, MRI, and diagnostic injection can be utilized as well.
What are the risk factors of Morton’s Neuroma?
Risk factors associated with development of a neuroma include:
- Flat or very high-arched foot types
- Wearing tight fitting or high-heeled shoes
- Obesity
- Certain types of high-impact sporting events
Non-Surgical Treatment Options Can Help
I first look at conservative treatment options such as recommending better fitting, more supportive shoes, and reviewing your day-to-day activities. Additional treatment options include:
- Non-steroidal anti-inflammatory drugs (NSAIDs).
- Custom orthotics with a built-in metatarsal pad.
- Corticosteroid injections.
If these options aren’t providing the best outcome, we can consider surgery to remove a part of the nerve or release tissue that is causing the pain. This is a fairly routine procedure with reported success rates of greater than 90 percent.
