What is it?
A neuroma is a thickened area of nerve tissue that is irritated/inflamed. Morton’s neuroma is a type of neuroma that exists between the metatarsal bones in the middle of the foot. Neuromas can cause significant, sharp pain, especially when wearing tight shoes, but may be almost painless during rest.
What symptoms does it cause?
When a Morton’s neuroma is painful, it often is associated with numbness, tingling, or burning sensation. Sometimes it feels like a grain of sand is rubbing between the toes. Symptoms are worse with tight shoes and walking. It feels better with rest and with wearing shoes that have a wide toe box.
How is it diagnosed?
Often a Morton’s neuroma is diagnosed via discussion with your doctor and physical examination. An MRI can be done to confirm the diagnosis.
How is it treated?
There are a variety of treatments that can be considered for Morton’s neuroma. Treatment typically begins with a course of anti-inflammatory medication and avoiding narrow shoes. A metatarsal pad may be recommended by your physician to alleviate pressure on the ball of the foot. If these measures don’t work, a cortisone injection may alleviate the symptoms. Finally if all treatment efforts fail, surgery may be considered to remove the neuroma.