Morton’s Neuroma

Morton’s neuroma is a thickening of the tissue around the nerve that leads to the toes.  Most commonly this occurs on the ball of the foot between the third and fourth toes because of the location of this nerve.

Pain associated with Morton’s neuroma is often described as feeling as though there is a rock in your shoe. Pain can range in severity from dull to sharp and burning with numbness or tingling in your toes.

The exact cause of Morton’s neuroma is unknown however the condition is more common in women than men. It is often believed wearing high heel shoes may be at fault.

Orthopedic Associates of Lancaster offers a comprehensive approach to recovery with on-site diagnostics, surgery center, and physical therapy. Learn more about how our foot specialists care for your feet.

Symptoms

  • Sharp pain on the ball of your foot between third and fourth toes that is felt when standing or walking
  • Tingling, numbness, or stinging into the toes
  • Feeling of stepping on a rock or marble

Causes

  • Wearing high heel shoes or shoes that are tight or narrow on the toes
  • Participating in high-impact sports that engage the feet such as running

Risk Factors

  • Participating in sports that pose a high impact to your feet such as running
  • Presence of a bunion or hammertoe
  • High arches or flat feet

Diagnosis

  • Description of your symptoms and medical history
  • Physical examination to evaluate health of the foot
  • X-ray to show bone health and rule out other conditions

Treatment Options

  • Change of shoe style to include a lower heel and wider toe box area
  • Wearing orthotic foot pads to relieve pressure
  • Surgical treatment is rare and may be used to release the tissue around the affected nerve or to remove a small portion of the affected nerve