Morton’s Neuroma is a painful condition that affects the ball of the foot, often between the third and fourth toes. It occurs when the tissue surrounding the nerves leading to your toes thickens, causing discomfort, pain, or even numbness in the area. Although not visible like a bunion or corn, this condition can significantly impact your ability to walk and enjoy daily activities.
What is Morton’s Neuroma?
Morton’s Neuroma involves the thickening of the tissue around one of the nerves leading to your toes. This usually happens in response to irritation, pressure, or injury to the nerve. The condition commonly affects women more than men, and those who wear tight or high-heeled shoes are particularly at risk.
Symptoms of Morton’s Neuroma
The symptoms of Morton’s Neuroma can vary but often include:
- Sharp, burning pain in the ball of the foot that may radiate to the toes.
- Numbness or tingling in the toes.
- A feeling as if there is a pebble in your shoe or something stuck under your foot.
- Pain that worsens when wearing tight shoes or during physical activities.
The pain may be intermittent initially, but it tends to become more persistent over time if not treated.
Causes and Risk Factors
There are several causes and risk factors associated with Morton’s Neuroma, including:
- Improper Footwear: Wearing tight, narrow, or high-heeled shoes can put excessive pressure on the forefoot and toes.
- High-Impact Activities: Sports that involve running, jumping, or other repetitive foot stress can lead to Morton’s Neuroma.
- Foot Deformities: Conditions like flat feet, high arches, or bunions can increase the risk of developing Morton’s Neuroma by altering the natural shape and mechanics of the foot.
Diagnosis and Examination
If you suspect you have Morton’s Neuroma, it’s essential to consult a podiatrist for a professional diagnosis. The examination typically involves:
- A physical assessment to identify areas of tenderness or a palpable mass.
- Imaging tests like an X-ray or MRI to rule out other potential causes of foot pain, such as fractures or arthritis.
Treatment Options for Morton’s Neuroma
Treatment for Morton’s Neuroma aims to alleviate pain and reduce the irritation of the affected nerve. Depending on the severity of your symptoms, treatment options include:
- Footwear Modification: Switching to shoes with a wider toe box, low heels, and good arch support can reduce pressure on the affected area.
- Orthotics: Custom orthotics can provide cushioning and support, helping to alleviate pressure and correct abnormal foot mechanics.
- Activity Modification: Reducing activities that exacerbate pain, such as high-impact sports, can give the affected nerve time to heal.
- Medication: Over-the-counter pain relievers and anti-inflammatory medications can help manage pain and reduce inflammation.
- Corticosteroid Injections: In more severe cases, corticosteroid injections may be used to reduce inflammation and relieve pain.
When to Consider Surgery
If conservative treatments are not effective and symptoms persist, surgery may be recommended. Surgical options involve removing the affected nerve tissue or releasing the tissue surrounding the nerve to relieve pressure. While surgery can be effective, it’s typically considered a last resort due to the potential for complications or changes in sensation.
Preventing Morton’s Neuroma
To reduce the risk of developing Morton’s Neuroma, consider the following preventative measures:
- Wear Proper Footwear: Choose shoes with adequate support, a roomy toe box, and minimal heel height.
- Avoid High-Impact Activities: Limit activities that place excessive strain on the ball of the foot.
- Use Orthotics if Necessary: If you have flat feet or high arches, consider custom orthotics to provide better support and alignment.
Conclusion
Morton’s Neuroma can be a painful and frustrating condition, but with proper care and treatment, it’s manageable. Early intervention is key to reducing pain and preventing further complications. If you’re experiencing persistent foot pain, consult with Louisa Seymour Podiatry for a professional assessment and personalised treatment plan.
