Understanding Treatment Options for Morton’s Neuroma 

Morton’s neuroma is a painful foot condition that involves the thickening of tissue around a nerve leading to the toes. This can cause sharp, burning pain in the ball of the foot, along with tingling or numbness in the toes. While Morton’s neuroma often affects runners and those who frequently wear tight or high-heeled shoes, it can occur in anyone and, if untreated, can lead to chronic pain and discomfort. Fortunately, there are effective treatment options available, ranging from conservative approaches to surgical solutions. 

Symptoms and Causes of Morton’s Neuroma 

Morton’s neuroma typically develops between the third and fourth toes, and symptoms often include: 

• Sharp, burning pain in the ball of the foot 

• Tingling or numbness in the toes 

• A sensation of standing on a pebble or a fold in your sock 

This condition is frequently triggered by irritation, injury, or pressure on the nerve. Activities that place stress on the foot, such as running or wearing shoes that squeeze the toes together, are common causes. 

Non-Surgical Treatment Options 

For many people, non-surgical treatments are effective in managing Morton’s neuroma symptoms. Some of the most common options include: 

1. Footwear Modifications 

• Switching to shoes with a wider toe box and better arch support can reduce pressure on the affected area and provide relief. Avoiding high heels and tight shoes can also make a significant difference. 

2. Orthotic Inserts 

• Custom orthotics or over-the-counter inserts can support the arch and reduce the stress placed on the nerve, helping to alleviate pain. 

3. Padding and Taping 

• Metatarsal pads, which are placed near the ball of the foot, can help redistribute pressure and relieve discomfort. Taping techniques may also help align the foot and reduce pain. 

4. Medication 

• Over-the-counter anti-inflammatory medications, such as ibuprofen, can help reduce inflammation and pain. Be sure to consult your healthcare provider before beginning any medication regimen. 

5. Steroid Injections 

• Corticosteroid injections target inflammation directly, providing temporary pain relief. Although effective, these injections may need to be repeated for sustained relief and are generally reserved for more severe cases. 

Surgical Treatment for Morton’s Neuroma 

If conservative treatments are unsuccessful, surgery may be considered. The primary surgical option for Morton’s neuroma is neurectomy, which involves removing a portion of the affected nerve. Here’s what to know about the procedure: 

Neurectomy: What to Expect 

• During a neurectomy, the surgeon removes a portion of the nerve that is causing the pain. This is usually an outpatient procedure done under local or general anesthesia. 

• While effective, surgery carries some risks, including infection, prolonged numbness, or scar tissue formation. Recovery time can vary, and it may take several weeks for swelling and discomfort to subside. 

Recovery and Aftercare 

• Post-surgery, patients are generally advised to avoid putting weight on the foot for a few days, gradually resuming normal activities over a few weeks. Wearing supportive footwear and practicing recommended foot exercises can aid in recovery. 

Choosing the Right Treatment 

Morton’s neuroma can be challenging, but with the right treatment approach, significant relief is possible. From conservative solutions like footwear changes and orthotics to advanced treatments, there are options tailored to each patient’s needs. If you’re experiencing persistent foot pain, consult with a medical professional to explore the best approach for you. 

At ROC, we’re dedicated to helping patients understand and manage conditions like Morton’s neuroma with personalized care. Reach out to our team to learn more about treatment options and take the next steps toward improved foot health and comfort.