A Morton’s Neuroma is a thickening and increased sensitivity of small sensory nerve in the foot adjacent to the toes. It most frequently develops between the third and fourth toes, usually in response to irritation, trauma or excessive pressure that can result from wearing high-heel and small toe-box shoes.

Most commonly patients experience burning pain in the ball of the foot that may radiate into the toes. The pain generally intensifies with activity or wearing shoes. Night pain is rare and normally there are no outward signs, such as a lump. There may also be numbness, or an unpleasant feeling in the toes. High-heeled shoes, which increase the stress on the forefoot and toes can also aggravate the condition. Tight, narrow shoes also aggravate this condition by compressing the toe bones and pinching the nerve.
The diagnosis of Morton’s Neuroma is made by history and physical examination. X-rays may be required to rule out a stress fracture or arthritis of the joints that join the toes to the foot.
Treatment is initially conservative and involves changes in footwear, orthoses or custom shoe inserts and pads which help relieve irritation by lifting and separating the bones and reducing the pressure on the nerve. Cortisone injections can be very helpful in reducing the swelling and inflammation of the nerve and can sometimes lead to a cure. If conservative treatment does not relieve your symptoms, surgery may be needed to resect a small portion of the irritated bulbous nerve and release the tissue around the nerve to eliminate the pressure.

At Oceana Sports Medicine and Orthopaedic Center, Dr. Aboka brings added expertise in the non-operative and surgical management of Morton’s Neuroma, utilizing the latest in minimally invasive protocols, and putting you back on the way to recovery quickly.