Morton Neuroma

  1. Definition:
    Also known as interdigital neuroma, is a common foot condition characterized by the thickening of the tissue around one of the nerves leading to the toes, most often between the third and fourth toes. This thickening of the nerve tissue can cause pain, numbness, and tingling sensations in the ball of the foot and toes.

    The exact cause of Morton's neuroma is not fully understood, but it is believed to be related to repetitive stress or irritation of the nerve, often due to wearing tight or high-heeled shoes, participating in high-impact activities, or having foot deformities such as bunions or hammertoes. Additionally, certain biomechanical factors such as flat feet or high arches may increase the risk of developing Morton's neuroma.

  2. Principal causes:

    Also known as interdigital neuroma, is a common foot condition characterized by the thickening of the tissue around one of the nerves leading to the toes, most often between the third and fourth toes. This thickening of the nerve tissue can cause pain, numbness, and tingling sensations in the ball of the foot and toes.

    The exact cause of Morton's neuroma is not fully understood, but it is believed to be related to repetitive stress or irritation of the nerve, often due to wearing tight or high-heeled shoes, participating in high-impact activities, or having foot deformities such as bunions or hammertoes. Additionally, certain biomechanical factors such as flat feet or high arches may increase the risk of developing Morton's neuroma.


  3. Symptoms:
    Symptoms of Morton's neuroma may include:

    • Pain or discomfort in the ball of the foot, particularly between the affected toes.

    • Numbness or tingling sensations in the toes, often radiating into the adjacent toes.

    • Burning or shooting pain that worsens with walking, standing, or wearing tight shoes.

    • Feeling like there is a lump or foreign object under the ball of the foot.

    Diagnosis of Morton's neuroma typically involves a physical examination and may include imaging studies such as X-rays, ultrasound, or magnetic resonance imaging (MRI) to rule out other possible causes of foot pain and confirm the presence of a neuroma.


  4. Our Treatment as a EvivaPHYSIO:

Treatment for Morton's neuroma depends on the severity of symptoms and may include:

  • Footwear modifications: Wearing shoes with a wider toe box and lower heels can help reduce pressure on the affected nerve and alleviate symptoms.

  • Orthotic devices: Custom orthotic inserts or pads may be recommended to provide additional support and cushioning for the foot and help redistribute pressure more evenly.

  • Medications: Over-the-counter or prescription medications such as nonsteroidal anti-inflammatory drugs (NSAIDs) or corticosteroid injections may be prescribed to reduce pain and inflammation associated with Morton's neuroma (if necessary).

  • Physical therapy: Specific exercises to stretch and strengthen the muscles of the foot and ankle, as well as improve gait mechanics, can help alleviate symptoms and improve foot function.

  • Surgical intervention: In cases where conservative treatments are ineffective, surgical options such as neurectomy (removal of the affected nerve) or decompression surgery may be considered to relieve pressure on the nerve and alleviate symptoms.

Overall, the prognosis for Morton's neuroma is generally good with appropriate treatment. Most individuals experience significant relief of symptoms and can resume normal activities with conservative measures or surgical intervention if necessary.

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