Morton’s neuroma

Morton’s neuroma: what you need to know

Morton’s neuroma, also referred to as Morton’s disease or Morton’s syndrome, occurs when the interdigital nerve situated between the 3rd and 4th toes (and occasionally between the 2nd and 3rd toes, or both) becomes compressed. Despite being invisible, this condition brings about intense pain.

Our orthotists at Laboratoire Orthopédique possess substantial experience in addressing Morton’s neuroma. This expertise empowers us to provide personalized solutions to each patient, aiming to restore their mobility and quality of life.

Symptoms of Morton’s neuroma

The symptoms of Morton’s neuroma primarily manifest as internal sensations, characterized by severe pain in the 2nd, 3rd, and/or 4th toes. Some patients describe these sensations as:

  • A burning feeling in the forefoot
  • Sensation of an object in the shoe
  • Tingling or numbness in the toes
  • Prickling pain on the skin, sometimes leading to decreased sensation in the toes

These sensations can vary from person to person, but they tend to intensify during prolonged standing, walking, or when wearing narrow or high-heeled shoes. In some cases, the pain can be so severe that it hampers walking and certain physical activities.

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Causes of Morton’s neuroma

Although the precise triggers of Morton’s neuroma remain somewhat unclear, certain habits can contribute to its development. This condition is more prevalent in women, attributed to frequent use of tight-fitting or high-heeled shoes. These footwear choices are believed to exert pressure on the nerve at the front of the foot, leading to thickening and scarring of the surrounding nerve tissue linked to the toes.

Other potential causes of Morton’s neuroma include:

  • Engaging in sports that involve repetitive foot impact, like running or skiing, requiring the use of snug boots
  • Genetic predisposition, including foot deformities such as bunions or flat feet
  • Excess weight in individuals who are overweight

Diagnosis of this foot pathology

Morton’s neuroma is characterized by the enlargement of an interdigital nerve, which becomes painful when compressed. A compression test involves applying pressure with the hand to bring the first metatarsal closer to the fifth. 

The diagnosis may be confirmed if intense pain resembling electric shocks occurs. Additionally, pain can be elicited by pressing between the metatarsals. Patients often report experiencing a jolt or burning sensation in adjacent toes.

Morton’s Neuroma treatments

Several effective and non-invasive treatment options are available for Morton’s neuroma:

  • Rest and applying ice to alleviate pressure
  • Getting foot orthotics: At Laboratoire Orthopédique, we offer custom orthotics to relieve pressure on the compressed nerve
  • Wearing orthopedic shoes: These specialized shoes distribute body weight evenly across the foot, reducing pressure by opting for a slightly wider design

Early intervention is crucial to avoid resorting to surgery, which is typically considered a last resort. Surgical removal of the nerve can result in permanent toe numbness.

Experiencing Foot Pain? We’re Here to Help

Never underestimate foot pain. At Laboratoire Orthopédique Jérôme Marier, we are dedicated to assisting you. 

If you’re encountering symptoms of Morton’s neuroma, don’t hesitate to schedule an appointment at Laboratoire Orthopédique.

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