Medical Issue

Morton’s Neuroma

Morton’s Neuroma

Morton’s Neuroma is pain or numbness in the ball of the foot, usually between the third and fourth toes. This can develop over a short or long period of time and can result in varying amounts of pain. For some, it can be a minor annoyance, for others it can be debilitating.

 Symptoms

Typical Morton’s neuroma sufferers experience pain affecting the area around the third and fourth toes. Many describe a feeling like having pebbles stuck in the bottoms of the shoe or a wrinkle in the sock. Some report a burning sensation while others only experience numbness.

Risk Factors

Risk factors include wearing high heels or shoes that are tight or don’t fit correctly. High-impact athletic activities such as jogging, running or sports in general that require tight shoes that put pressure on toes may subject feet to repetitive trauma that can cause the issue.  People who have bunions, hammertoes, high arches or flatfeet are at higher risk of developing Morton's Neuroma. Pregnancy or gaining weight can also increase the risk.

Causes

Morton’s Neuroma is caused by an injury or chronic irritation of the nerves that lead to the toes. Chronic pressure and rubbing causes a thickening of nerves. The increased size of the nerves further increases the irritation, leading to a re-enforcing cycle of irritation and expanding nerves.

Treatment

The first objective is to reduce pressure on the foot, typically by wearing wider shoes. Treatment options include pads or custom orthotics to re-position the nerve, reducing the symptoms.  Multiple steroid injections over the course of several months, may shrink the size of the nerve. A more permanent solution, a series of dilute alcohol injections to destroy the nerve, will result in numbness to the affected toes. Surgical options are available in rare occasions when other treatments do not provide relief.

The Concierge Podiatry Advantage

Because Morton's Neuroma is often confused with another more common medical issue, Metatarsalgia (ball and foot pain), at Concierge Podiatry we carefully examine each patient to determine which issue causes their discomfort before recommending a course of treatment. By using other more common treatment options and laser therapy, at Concierge we recommend surgery for fewer than one percent of Morton's Neuroma patients.

At Concierge Podiatry we specialize in treating all podiatric issues. We take the time needed to diagnose and explain any treatment options before beginning any course of treatment.

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