What is a Morton's Neuroma? [Causes, Symptoms, Tests & Diagnosis]

Morton's neuroma, also known as interdigital neuroma, is a common foot condition that involves a benign growth of nerve tissue in the foot, typically between the third and fourth toes. While it is referred to as a neuroma, it is not a true tumor but rather a thickening of the tissue around a nerve that leads to symptoms.

Here are some key points about Morton's neuroma:

Symptoms: People with Morton's neuroma often experience the following symptoms:

Pain or discomfort in the ball of the foot, typically between the third and fourth toes.
A burning or sharp shooting pain that may radiate into the toes.
Numbness or tingling in the toes.
The sensation of having a small pebble or lump in the shoe.
Causes: The exact cause of Morton's neuroma is not always clear, but it is often associated with:

Wearing tight or narrow shoes that compress the toes.
High-heeled shoes that put extra pressure on the ball of the foot.
Repetitive activities or sports that put strain on the forefoot.
Certain foot deformities or conditions that increase pressure on the nerve.
Diagnosis: A healthcare provider or podiatrist typically diagnoses Morton's neuroma through a physical examination and by discussing your symptoms. Sometimes, imaging tests like X-rays or MRI scans may be used to rule out other conditions.

Treatment: Treatment options for Morton's neuroma may include:

Changing footwear to shoes with a wider toe box and lower heels.
Using orthotic inserts or padding to reduce pressure on the affected area.
Anti-inflammatory medications or corticosteroid injections to reduce pain and inflammation.
Physical therapy to strengthen the foot and improve gait.
Custom-made arch supports (orthotics) to provide additional cushioning and support.
In more severe or persistent cases, surgical removal of the neuroma may be necessary.
Surgery: Morton's neuroma surgery involves removing the affected nerve tissue. The specific surgical technique may vary, and the decision to undergo surgery is typically made after conservative treatments have failed to provide relief.

Recovery: Recovery from Morton's neuroma surgery may take several weeks, and patients may need to wear special footwear and gradually return to regular activities.

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DISCLAIMER:
Dr. Tomasz Biernacki received his Doctor of Podiatric Medicine degree from Kent State College of Podiatric Medicine in 2013; he completed his Surgical Reconstructive Foot Surgery & Podiatric Medicine Residency in 2017; he completed 2x traveling Fellowships in Diabetic Surgery, Skin Grafting & Nerve Surgery. He is double board certified in Podiatric Medicine and Foot & Ankle Surgery. Dr. Biernacki is a licensed podiatrist & surgeon in Michigan. This video should not be used to self-diagnose and is not a substitute for a medical exam, cure, treatment, diagnosis, prescription, or recommendation. It does not create a doctor-patient relationship between Dr. Biernacki and you. It would be best to not change your health regimen or diet before consulting a physician and obtaining a medical exam & diagnosis. Always seek the advice of a physician or other qualified health provider with any questions regarding a medical condition.