Morton's Neuroma

(Intermetarsal Neuroma)

What is a Neuroma? 

A neuroma is a thickening of nerve tissue that may develop in various parts of the body. The most common neuroma in the foot is a Morton’s neuroma, which occurs between the third and fourth toes. It is sometimes referred to as an intermetatarsal neuroma. Intermetatarsal describes its location in the ball of the foot between the metatarsal bones. Neuromas may also occur in other locations in the foot.The thickening of the nerve that defines a neuroma is the result of compression and irritation of the nerve. This compression creates enlargement of the nerve, eventually leading to permanent nerve damage

Symptoms

If you have a Morton’s neuroma, you may have one or more of these symptoms where the nerve

damage is occurring:

  • Tingling, burning or numbness

  • Pain

  • A feeling that something is inside the ball of the foot

  • A feeling that there is something in the shoe or a sock is bunched up

 

The progression of a Morton’s neuroma often follows this pattern:

  • The symptoms begin gradually. At first, they occur only occasionally when wearing narrow-toed shoes

  • or performing certain aggravating activities.

  • The symptoms may go away temporarily by removing the shoe, massaging the foot or avoiding aggravating

  • shoes or activities.

  • Over time, the symptoms progressively worsen and may persist for several days or weeks.

  • The symptoms become more intense as the neuroma enlarges and the temporary changes in the nerve become permanent.

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Treatment

Treatment approaches vary according to the severity of the problem.​

  • Orthotic devices. Custom orthotic devices provided by your foot and ankle surgeon provide the support needed to reduce pressure and compression on the nerve.

  • Activity modifications. Activities that put repetitive pressure on the neuroma should be avoided until the condition improves.

  • Shoe modifications. Wear shoes with a wide toe box and avoid narrow-toed shoes or shoes with high heels.

  • Medications. Oral nonsteroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen, may be recommended to reduce pain and inflammation.

  • Injection therapy. Treatment may include injections of cortisone, local anesthetics or other agents.

In some cases surgery may be advised in patients who have not responded adequately to nonsurgical treatments. Our physicians at Texas Foot and Ankle Consultants will determine the approach that is best for your condition. The length of the recovery period will vary depending on the procedure performed.

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 399 W. Campbell Rd, Suite 103(Medical Plaza 2), Richardson, TX, 75080