Morton's Neuroma
Table of content
Morton's Neuroma – What is it and how is it treated?
Causes of Morton's neuroma
The exact cause of Morton's neuroma is not fully understood, but several factors can contribute to its development:
- Fallen metatarsal arch: Reduced space between the metatarsal bones can increase pressure on the nerves.
- Tight or high-heeled shoes: These can compress the nerves in the foot and worsen symptoms.
- Overuse: Activities such as running or sports with a lot of jumping can irritate the nerves.
- Foot deformities: Conditions like flat feet or hammer toe can increase the risk.
Symptoms
Symptoms include pain between the third and fourth toes, often described as a stabbing or burning pain. Many also experience the pain as an electric shock, especially with weight-bearing. Pain can also occur at rest, especially if the nerve is inflamed. In more advanced cases, swelling and discomfort may also occur when wearing shoes that press on the forefoot.
Treatment of Morton's neuroma
Treatment aims to reduce pressure on the affected nerve and alleviate symptoms:
- Footwear change: Use shoes with a wide toe box and low heel to reduce pressure on the forefoot.
- Orthopedic inserts: Specially designed inserts can provide support and relief.
- Pain relievers: Non-steroidal anti-inflammatory drugs (NSAIDs) can reduce pain and inflammation.
- Cortisone injections: Can be used to reduce inflammation in the area.
- Surgery: If conservative treatments are not effective, surgical removal of the thickened nerve tissue may be considered.
Effective treatment begins with relieving pressure on the forefoot. A metatarsal pad can help lift the metatarsal arch and reduce pressure on the nerve. Metatarsal pads work by supporting the arch and preventing the metatarsal heads from compressing the nerves. These inserts can be attached directly to the shoe or used as part of a 3/4 insole. It is important to use the metatarsal pads in all your shoes, even in sandals or narrower shoes, to ensure that the nerve is not subjected to further pressure.
The choice of shoes also plays a crucial role in treatment. Tight shoes compress the forefoot, which worsens the pain and prevents the lifting effect of the metatarsal pad. Choose shoes with wider toe boxes and avoid heels, as these shift the load to the forefoot and increase pressure on the nerve.
In more severe cases, orthopedic metatarsal pads and custom-made shoes may be necessary to provide long-term relief. The combination of functional shoes with built-in support, such as a forefoot rocker sole, and metatarsal pads often yields good results and can improve the quality of life for those with Morton's neuroma.
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How do I know if I have Morton's neuroma?
If you experience forefoot pain that worsens with walking or wearing tight shoes, as well as numbness or tingling in your toes, you should consult a doctor for diagnosis.
Can Morton's neuroma go away on its own?
In some cases, symptoms can be relieved with conservative treatments, but without treatment, the condition can worsen over time.
What shoes should I avoid?
Avoid tight shoes with high heels or a narrow toe box, as they can increase pressure on the forefoot and worsen symptoms.
