Medically reviewed & written by Dr. Neha Sawant (PT) — Research Associate Masters in Neurophysiotherapy

Medically reviewed & written by Dr. Jude Dsouza (PT) — Research Associate Masters in Neurophysiotherapy

Morton’s Neuroma



Morton’s Neuroma is a benign (non neoplastic) foot problem associated with pain, swelling and inflammation of a nerve, commonly at the ball-of-the-foot between the 3rd and 4th toes. This condition presents with sharp burning pain, and numbness in the affected area and cramping in the forefoot.
Morton’s Toe:  It is a forefoot disorder where the second toe is longer than the Big Toe. As a result of which there is excessive pressure on the second metatarsal head resulting in pain similar to metatarsalgia . This constant pressure can lead to callus formation under the second metatarsal head due to this excessive pressure



Morton’s Neuroma results from bones of the foot squeezing a nerve usually between the 3rd and 4th metatarsal heads. Symptoms of Morton’s Neuroma often occur during or after significant pressure placed on the forefoot area, while walking, standing, jumping, or sprinting. Also, improper footwear with pointed toes and high heels can often lead to a neuroma. Constricting shoes can compress the nerve between the toes, causing discomfort and extreme pain.


Treatment And Prevention



Selecting proper footwear is essential to prevent Morton Neuroma. Footwear with a high and wide toe box (toe area) is ideal for relieving the pain. It is suggested to use a metatarsal pad. This pad is located behind the ball-of-the-foot to unload pressure, and relieve the pain caused by the neuroma. 
Pharmacologically, the use of cortisone injections is very useful.  Following consultation with healthcare practioner, surgery for this condition, should always be a last resort.


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