Conditions We Treat
Morton’s Neuroma
What Is It?
Morton’s neuroma is a thickening of the tissue around the interdigital nerve, most commonly between the 3rd and 4th toes. It’s often caused by compression from tight shoes or repetitive stress on the forefoot.
Symptoms
- Sharp, burning pain in the ball of the foot
- Tingling or numbness in the toes
- Feeling of a lump or “marble” between the toes
- Pain worsens with tight shoes or walking
Diagnosis
- Squeeze test (Mulder’s sign): Compressing the foot reproduces symptoms and may cause a palpable click
- Ultrasound or MRI: Helps confirm nerve thickening and rule out other causes like bursitis
- X-rays: Usually normal but may be used to rule out other foot problems such as stress fractures
Treatment
Conservative Options:
- Wide-toed shoes and metatarsal pads to reduce pressure on the nerve
- Orthotics to offload the affected nerve and support the transverse arch
- Activity modification: Reducing high-impact activities
- NSAIDs and ice for symptom management
Interventional Options:
- Corticosteroid injections to reduce inflammation around the nerve
- Radiofrequency ablation or alcohol sclerosing injections for chronic cases
Surgical Options:
- Surgical excision (neurectomy) of the neuroma if conservative care fails to provide relief
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