Understanding Morton’s Neuroma Gotham Footcare

Morton’s Neuroma, a condition affecting the nerves in the feet, is something that many people struggle with but often don’t fully understand. While it is relatively common, it can be painful and frustrating, especially if left untreated. In this blog post, we will dive into what Morton’s Neuroma is, the symptoms to watch out for, how it is diagnosed, and the most effective treatment options available. Whether you’re suffering from the condition or just curious, we’ll provide you with the essential information you need to know.

What is Morton’s Neuroma?

Morton’s Neuroma, also known as intermetatarsal neuroma, is a benign growth or thickening of nerve tissue that typically forms between the third and fourth toes. It often occurs in the ball of the foot, usually affecting the plantar nerve. This condition can cause pain, tingling, burning sensations, and even numbness in the affected area. Though it may sound alarming, Morton’s Neuroma is generally non-cancerous and treatable.

While the exact cause of Morton’s Neuroma isn’t always clear, several factors contribute to its development. It is more commonly seen in women than men, and the condition tends to affect individuals who wear tight, high-heeled shoes or shoes with narrow toe boxes. Other risk factors include excessive foot pressure, repetitive trauma, or abnormal foot mechanics such as flat feet or high arches.

Symptoms of Morton’s Neuroma

The symptoms of Morton’s Neuroma can vary in intensity, and they may worsen over time if the condition is left untreated. Here are some common symptoms to be aware of:

1. Pain in the Ball of the Foot

The most prominent symptom of Morton’s Neuroma is pain in the ball of the foot, typically between the third and fourth toes. This pain can range from a dull ache to sharp, stabbing sensations. In some cases, the pain may feel like walking on a pebble or experiencing pressure in the foot.

2. Numbness or Tingling Sensations

Another common symptom of Morton’s Neuroma is numbness or tingling sensations in the toes. You might feel like your toes are “falling asleep” or experiencing a pins-and-needles sensation, especially when walking or standing for long periods.

3. Burning Sensation

Some individuals experience a burning feeling in the ball of their foot. This can be especially noticeable after standing for an extended period or after engaging in physical activity, such as running or walking.

4. Shooting Pain or Discomfort

In some cases, Morton’s Neuroma can cause shooting pain that radiates into the toes or up into the foot. This pain might worsen when wearing certain types of shoes, particularly high heels or tight shoes that compress the foot.

5. Feeling of a Lump or Mass

In rare cases, people with Morton’s Neuroma might notice a small lump or mass in the foot. This lump is typically the thickened nerve tissue that forms as a result of the condition. You may feel this lump when you press on the ball of your foot.

6. Pain that Worsens with Activity

If left untreated, the symptoms of Morton’s Neuroma may worsen during physical activity. For example, running, walking long distances, or standing for prolonged periods can exacerbate the pain and discomfort, making it harder to perform daily activities.

If you’re experiencing any of these symptoms, it’s crucial to seek medical advice as soon as possible to determine whether Morton’s Neuroma is the cause.

Diagnosing Morton’s Neuroma

If you suspect that you have Morton’s Neuroma, it’s important to see a healthcare professional for an accurate diagnosis. A podiatrist or foot specialist will typically perform several tests to determine the underlying cause of your symptoms.

1. Medical History and Physical Examination

The first step in diagnosing Morton’s Neuroma is a thorough medical history and physical examination. Your doctor will ask questions about your symptoms, such as when the pain started, how it feels, and whether certain activities or shoes trigger the discomfort. They will also examine your feet, checking for signs of swelling, redness, or deformities.

2. Palpation

During the physical exam, the doctor may gently press on the ball of your foot to check for tenderness or the presence of a lump. They may also try to feel for thickening of the nerve tissue. This method helps identify areas of pain or discomfort associated with Morton’s Neuroma.

3. Imaging Tests

In some cases, your doctor may order imaging tests, such as X-rays, ultrasounds, or MRIs, to rule out other conditions or to confirm the presence of Morton’s Neuroma. While X-rays are not typically used to diagnose Morton’s Neuroma, they can help identify any bone issues, such as fractures or arthritis, that may be contributing to your foot pain.

• Ultrasound: This imaging technique uses sound waves to create a picture of the tissues inside your foot. An ultrasound can help visualize the thickened nerve tissue associated with Morton’s Neuroma.
• MRI: An MRI may be used to provide more detailed images of the soft tissues, allowing your doctor to assess the size of the neuroma and rule out other potential causes of your symptoms.
  

4. Nerve Conduction Studies

In some cases, nerve conduction studies may be performed to assess how well the nerves in your foot are functioning. This test measures the electrical activity in the nerve and can help confirm the diagnosis.

By combining your medical history, physical examination, and imaging tests, your doctor will be able to determine if you have Morton’s Neuroma and develop a treatment plan tailored to your needs.

Treatment Options for Morton’s Neuroma

Fortunately, Morton’s Neuroma is treatable, and there are several options available depending on the severity of the condition. Treatment can range from conservative measures to more invasive procedures if necessary.

1. Conservative Treatments

For many people, conservative treatments can provide relief from Morton’s Neuroma symptoms. These options focus on reducing inflammation and managing pain while allowing the nerve to heal.

a) Footwear Modifications

One of the first steps in managing Morton’s Neuroma is to make changes to your footwear. Shoes that are too tight, narrow, or high-heeled can put pressure on the affected nerve, worsening symptoms. To help alleviate this pressure, you can wear shoes with a wide toe box, good arch support, and a low heel. Avoid shoes that compress the foot or create excessive pressure on the ball of the foot.

b) Custom Orthotics

Custom orthotic devices, such as insoles or shoe inserts, can be beneficial for providing extra support and cushioning to the foot. These devices can help redistribute pressure away from the affected area, reducing pain and discomfort. A podiatrist can assess your foot structure and recommend orthotics that best suit your needs.

c) Corticosteroid Injections

If you’re experiencing significant pain or inflammation, corticosteroid injections may be recommended. These injections contain anti-inflammatory medication that can help reduce swelling and pain in the affected area. In some cases, a single injection can provide relief for several weeks or even months.

d) Anti-inflammatory Medications

Over-the-counter nonsteroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen or naproxen, can help reduce pain and inflammation associated with Morton’s Neuroma. These medications can be used on a short-term basis to manage symptoms.

e) Physical Therapy

Physical therapy may also be beneficial for individuals with Morton’s Neuroma. A physical therapist can guide you through exercises that strengthen the foot and improve its flexibility, which can help reduce pressure on the affected nerve. Stretching exercises and massage therapy may also help relieve tension in the foot and lower leg.

f) Rest and Ice

In addition to the treatments mentioned above, it’s essential to rest your feet and avoid activities that can exacerbate the pain, such as running or standing for long periods. Applying ice to the affected area can also help reduce inflammation and provide temporary pain relief.

2. Minimally Invasive Procedures

If conservative treatments don’t provide sufficient relief, your doctor may recommend more invasive procedures, such as:

a) Cryosurgery

Cryosurgery or also known as cryogenic neuroablation is a minimally invasive procedure in which a special device is used to freeze the nerve tissue. This technique can help reduce pain by destroying the thickened nerve tissue associated with Morton’s Neuroma. The procedure is typically done under local anesthesia and may provide long-term relief.

b) Alcohol Sclerosing Injections

Alcohol sclerosing injections involve injecting alcohol into the affected nerve to cause a controlled injury to the nerve tissue. This process can help reduce the size of the neuroma and alleviate pain. It’s often used for patients who do not respond to corticosteroid injections.

3. Surgical Treatment

In more severe cases of Morton’s Neuroma that do not respond to conservative or minimally invasive treatments, surgery may be necessary. The most common surgical option is a neurectomy, where the surgeon removes the thickened nerve tissue to relieve pain. Surgery is typically considered a last resort when all other treatment options have failed.

While surgery can provide long-term relief, it carries certain risks, such as infection, nerve damage, and the potential for recurrence. Your doctor will discuss the benefits and risks of surgery with you if this becomes a viable option.

Preventing Morton’s Neuroma

While it may not always be possible to prevent Morton’s Neuroma, there are several steps you can take to reduce your risk:

• Wear shoes with proper arch support and a wide toe box.
• Avoid high-heeled shoes that place excessive pressure on the forefoot.
• Maintain a healthy weight to reduce pressure on your feet.
• Use orthotic devices to provide additional support and cushioning.
• Take breaks from activities that involve repetitive pressure on the feet.
  

Conclusion

Morton’s Neuroma is a common condition that can cause significant discomfort and affect your quality of life. Recognizing the symptoms early and seeking appropriate treatment can help you manage the condition and find relief. Whether you choose conservative treatments, minimally invasive procedures, or surgery, there are effective options available.

If you’re experiencing foot pain or suspect you may have Morton’s Neuroma, don’t wait to seek medical advice. At Gotham Footcare, we specialize in diagnosing and treating foot conditions like Morton’s Neuroma to help you get back on your feet. Call us today at (212) 921-7900 to schedule an appointment and take the first step toward finding relief.