← What we treat

Morton's Neuroma

A Morton's neuroma is a thickened, irritated nerve between the long bones of the foot, most often between the third and fourth toes. It usually causes burning, tingling, or numbness that runs into the toes, or a feeling like a pebble or a bunched-up sock under the ball of the foot.

A telltale sign is that the pain eases when you take your shoe off and rub the foot, then returns once you are back in shoes and on your feet.

What causes it

The nerve becomes irritated when it is repeatedly squeezed between the bones of the forefoot. Narrow or pointed shoes and high heels are common culprits, as are activities that put repeated pressure on the ball of the foot, such as running and court sports. Foot structure, including bunions, hammertoes, and flat or high-arched feet, can also play a role.

What your visit looks like

Your visit starts with a history and an exam, which often reproduces the symptoms and points to the exact spot. X-rays are taken here in the office when needed to rule out a stress fracture or joint problem, and additional imaging is occasionally ordered when the picture is not clear.

Most neuromas improve with conservative care. That can include shoes with more room in the toe box, a pad that spreads the bones and takes pressure off the nerve, custom orthotics, and an injection to calm the irritated nerve. If a neuroma does not settle down with conservative care, other options are available, and we will talk through them with you.

When to come in

Burning, tingling, or numbness in the toes that keeps coming back is worth having looked at. Neuromas tend to respond better when they are treated early.

Numbness or burning in both feet, rather than between two toes, can be a sign of neuropathy instead, which is a different problem and also worth having checked.