Morton Neuroma

What is Morton’s Neuroma?

Morton’s neuroma is a thickening of the nerve tissue usually found between the 3rd and 4th toes, caused by irritation or compression of the nerve.

Patients often describe:

• Burning pain in the forefoot

• Tingling or numbness in the toes

• Feeling like “walking on a pebble”

Aetiology (Causes)

Morton’s neuroma is commonly related to increased pressure and nerve compression, often due to:

• Tight or narrow footwear

• High heels

• Forefoot overloading

• Abnormal foot mechanics

• Muscle imbalance

From a biomechanical and soft tissue perspective, excessive load on the forefoot leads to irritation of the interdigital nerve.

Why do symptoms occur?

• Compression of the nerve between metatarsal heads

• Repetitive stress and friction

• Reduced space in the forefoot

This may lead to:

• Pain in the ball of the foot

• Numbness or tingling in toes

• Altered walking pattern (compensation)

Management Approach (Podiatry Perspective)

Non-Surgical Management (First-Line)

Most cases can be effectively managed conservatively:

1. Footwear Modification

• Wide toe-box shoes

• Avoid tight or high-heeled footwear

✔️ Reduces pressure on the nerve

2. Orthotic Therapy

• Custom or prefabricated orthotics

• Designed to redistribute pressure

✔️ Offloads the forefoot and improves mechanics

3. Metatarsal Dome (Met Dome)

• Placed just proximal to the metatarsal heads

• Helps spread the forefoot

✔️ Reduces nerve compression and relieves symptoms

4. Gait Modification

• Adjusting walking pattern

• Reducing excessive forefoot loading

✔️ Improves long-term load distribution

5. Soft Tissue Management

• Addressing tight plantar fascia

• Releasing surrounding structures

Advanced Management

If symptoms persist:

• Corticosteroid injections may be considered

• Provide temporary relief by reducing inflammation

When is Surgery Needed?

Surgery is considered only as a last resort, when:

• Pain is persistent and severe

• Conservative treatment has failed

Surgical options involve removing or decompressing the affected nerve.

Personalised Care at Pod11

At Pod11, we provide a one-to-one personalised program focusing on:

• Reducing nerve irritation

• Offloading pressure

• Improving foot mechanics

• Preventing recurrence

Key Takeaway

• Morton’s neuroma is a pressure-related nerve condition

• Most cases improve with non-surgical care

• Orthotics, met dome, and gait correction are key

• Surgery is only for persistent cases