Morton's Neuroma

What is Morton’s neuroma?

Morton’s neuroma is a common foot condition characterized by the thickening of the tissue surrounding one of the nerves leading to the toes. It typically affects the nerve between the third and fourth toes. This condition is often caused by repetitive stress or irritation of the nerve, leading to inflammation and pain. It can be associated with wearing tight or high-heeled shoes that place excessive pressure on the toes.

 

Morton’s neuroma symptoms

The symptoms of Morton’s neuroma can vary but generally include:

  • Sharp, burning pain: Often described as a burning or sharp pain in the ball of the foot, which may radiate to the toes.
  • Numbness or tingling: A sensation of numbness or tingling in the affected toes.
  • Sensation of a lump: Some patients report feeling a small, painful lump or mass in the ball of the foot.
  • Pain with certain shoes: The pain may worsen with certain types of footwear, especially those that are tight or have high heels.
  • Relief with rest: The discomfort may lessen when the foot is rested or when switching to more comfortable footwear.

 

How does Dr Abramson treat Morton’s neuroma?

Dr Michael Abramson treats Morton’s neuroma using a tailored, patient-specific approach based on the severity of the condition. Initially, he focuses on conservative management, recommending changes in footwear, such as shoes with a wider toe box, and avoiding high heels or tight-fitting shoes to reduce pressure on the affected nerve. He may also prescribe custom orthotics to provide better arch support, as well as medications like anti-inflammatory drugs or corticosteroid injections to manage pain and reduce inflammation. Physical therapy may also be advised to strengthen the foot and improve overall biomechanics, helping to relieve symptoms and prevent recurrence.

For patients who do not respond to these conservative methods, Dr Abramson offers minimally invasive options such as cryo-neurolysis, where extreme cold is applied to the nerve to reduce pain and inflammation, or therapeutic injections targeting the affected area. In more severe cases, surgical intervention may be necessary. Dr Abramson performs procedures like neurectomy, which involves removing the thickened nerve tissue to provide permanent relief, or decompression surgery, where pressure is relieved from the nerve without removing it. His treatment approach is comprehensive, ensuring that each patient receives the most effective care for long-lasting relief from Morton’s neuroma.

FAQ’s

Can Morton's neuroma recur after treatment?
While treatment is usually effective, there is a possibility that Morton’s neuroma can recur, ( 20%) especially if the underlying causes are not addressed. Following Dr Abramson’s recommendations for footwear and foot care can help reduce the risk of recurrence.
Are there any long-term effects of Morton's neuroma?
With appropriate treatment, most people experience significant relief from symptoms and can return to normal activities. Long-term effects are generally minimal, but ongoing management of foot health and proper footwear can help prevent future issues.
What should I do if I suspect I have Morton's neuroma?
If you suspect you have Morton’s neuroma, it is important to consult with an orthopaedic specialist like Dr Abramson. He can provide a thorough evaluation, confirm the diagnosis, and recommend an appropriate treatment plan based on your specific condition.