Mortons Neuroma

Morton's Neuroma (Forefoot pain)

Morton’s neuroma is thickening of nerve tissue commonly seen between the 3^rd and 4^th toe. This enlargement is often caused by compression and irritation of the nerve, due to a combination of factors such as footwear and pronated foot.

This lesion is more common in females and with jobs that require standing or walking long hours, such as nurses, teachers and police. Runners are also commonly affected by this problem. The pain is usually only in one foot but could also occur in both. Patients often complain of pain in the ball of the foot.

Summary of symptoms

• Sharp, lancing or cramp-like pain (often likened to a burning hot needle).

• Pain only on walking

• Exacerbated by walking in narrow, high heeled shoes

• Sensation of clicking on walking

• Patient has to stop and wait until the pain eases

• Pain relief is aided by rest, removing shoes (usually found to be constrictive) and massaging toes

• Pins and needles or numbness experienced between toes

Conservative management provided by the podiatrist at Winchester Sports & Spine aims to reduce irritation of the neuroma. This would reduce symptoms and improve quality of life.

Summary of conservative treatment

• biomechanical assessment with a view to providing orthoses (insoles)

• modification of patient’s footwear. Wider shoes with lower heels, good arch support and adequate toe room usually reduces symptoms alone

• manipulation

For further information please contact Janet, Fiona or Judith to book an appointment with the podiatrist at Winchester Sports & Spine on 01962843242