Morton's neuroma

What is it?

Nerves run between the long bones of your foot to your toes. When one of these nerves is squeezed again and again, the tissue around it can thicken. This is called a neuroma. It most often happens between the 3rd and 4th toes.

Common causes include tight or narrow shoes and high heels, which push the toes together and put weight on the ball of the foot. Foot shape, such as bunions or flat feet, and activities that put a lot of pressure on the ball of the foot can also play a part.

Signs to watch for

• Burning pain in the ball of the foot
• Tingling or numbness in the toes
• A feeling like a pebble in your shoe or a sock bunched up
• Pain that gets worse in tight shoes
• Relief when you take your shoe off and rub your foot

Care at home

• Wear shoes with a wide toe area and a low heel
• Take a break from high heels and narrow shoes
• Rest your foot and limit activities that make it hurt
• Ice the sore area for short periods

Treatment options

Dr. Nafal will examine your foot and may order an imaging test, such as an ultrasound or MRI, if needed. He explains each option in plain words, starting with the simplest ones.

• Wider, roomier shoes
• Pads that help spread the bones and take pressure off the nerve
• Shoe inserts (orthotics) he may recommend
• Injections to calm swelling and pain around the nerve
• Surgery, when other options have not helped enough

Most people start with shoe changes and padding. If surgery is needed, Dr. Nafal will explain what it involves, the recovery, and the risks.

Common questions

Is Morton's neuroma a tumor?

No. Despite the name, it is not cancer. It is thickened tissue around an irritated nerve.

Will I need surgery?

Many people feel better with shoe changes, pads, inserts, or injections. Surgery is an option if pain continues after trying these.