Morton’s Neuroma
What is a Morton’s Neuroma?
A patient’s story
“I have had a very strange pain in my foot that no one seems to be able to diagnose. The problem is whenever I see somebody the pain seems to have gone. The pain only really occurs when I am walking, but it is never predictable. One day I can be in agony the next, whilst doing exactly the same things, perfectly pain free. It is really hard to say where the pain is, but it is somewhere around my toes and the ball of my foot. Do you know what? I have even had to take my shoe off in the middle of the supermarket and wiggle my toes, which gives me some relief for a short time.
When I get home and look at my foot it is entirely normal and I cannot reproduce the pain by pressing on the spot where I think it was.”
Why have I developed a Morton’s Neuroma?
How do you treat a Morton’s Neuroma?
To treat a Morton’s Neuroma, we will need to ascertain why you developed it. Treatment may involve footwear advice, orthotics and steroid injection under ultrasound guidance.
This will give you relief of the discomfort and the ability to do what you love again.
Frequently Asked Questions about Morton’s Neuroma
What is a Morton’s Neuroma?
A Morton’s Neuroma is a thickening or enlargement of a nerve in the forefoot, often between the third and fourth toes. It causes sharp, burning, or electric pain when compressed.
What does it feel like?
Pain is often described as sudden, sharp, or burning in the ball of the foot or between the toes — sometimes forcing people to remove their shoes for relief. It may come and go unpredictably.
Why does Morton’s Neuroma occur?
It develops due to irritation or compression of a nerve, often caused by poor footwear, foot deformities like bunions, or biomechanical stress.
Can it be diagnosed if symptoms aren’t present during the appointment?
Yes. We use your clinical history, symptom patterns, physical examination, and diagnostic tools to confirm the condition — even if the pain isn’t active at the time.
How is it treated?
Treatment may include orthotics, footwear changes, and ultrasound-guided steroid injections to reduce inflammation and relieve nerve pressure.
Will I need surgery?
In most cases, Morton’s Neuroma can be successfully managed without surgery. We aim for non-invasive treatments first to avoid more drastic measures.
Can I still be active?
Yes — that’s the goal. By addressing the root cause, we aim to relieve symptoms and help you return to walking, exercising, or simply enjoying life without unpredictable pain.
Morton’s Neuroma Treatment Comparison
| Treatment Option | Home Remedies | Over-the-Counter Insoles | Podiatrist Care (TFH) |
|---|---|---|---|
| Rest and shoe changes | ✔ | ✔ | ✔ |
| Accurate diagnosis of nerve compression | ✘ | ✘ | ✔ |
| Custom orthotics to reduce pressure | ✘ | Limited | ✔ |
| Ultrasound-guided steroid injection | ✘ | ✘ | ✔ |
| Prevention of recurrence | Unlikely | Possible | ✔ |
| Ability to stay active long-term | Limited | Moderate | ✔ |
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