Morton’s neuroma is inflammation or thickening of the nerves between the metatarsal bones, which are the bones located between the toes. Usually found between the second, third and fourth bones of the foot, it is often caused by compression of the nerves that causes irritation and swelling.
Morton’s neuroma can become worse with ill-fitting shoes or by wearing high heels. Those with certain foot deformities such as flat feet or high arches are more susceptible to developing it.
Morton’s neuroma can be painful. You should see your doctor if you are experiencing:
- A sharp pain between the toes
- Sharp, burning pain while walking or standing
- Inflammation between the toes
- Numbness and tingling between the toes
- Pain and swelling under the balls of the feet
Penn orthopaedic specialists diagnose Morton’s neuroma using the latest imaging technology, including a musculoskeletal ultrasound. A musculoskeletal ultrasound uses high-resolution imaging to view soft tissues such as nerves, tendons, muscles and ligaments.
In addition to getting a musculoskeletal ultrasound, we may request other imaging tests such as X-rays and MRIs to make sure we’re accurately diagnosing your condition.
Meet the team of experts who specialize in mortons neuroma treatment
Morton’s Neuroma Treatment Options
Penn orthopaedic specialists first treat Morton’s neuroma with non-invasive therapies. Many people find relief from pain through simple lifestyle changes and conservative therapeutic approaches.
There are many ways to treat Morton’s neuroma without surgery, including:
- Activity modification
- Anti-inflammatory medications
- Corticosteroid injection
- Changing your footwear (Avoid wearing shoes that are narrow, tight or high heels. Opt for wide, comfortable, low heeled shoes.)
- Trying custom orthotics (shoe inserts)
- Icing the inflamed area
- Using pads (Padding at the ball of the foot may help relieve symptoms.)
Morton’s Neuroma Surgery
When conservative approaches are not effectively helping your pain, we may recommend surgery. Our orthopaedic surgeons are highly experienced in performing minimally invasive surgical techniques to relieve Morton’s neuroma pain.
Surgery involves removal of the nerves in the ball of the foot (called a neurectomy) by making a small incision at the top of the foot. While removing the nerve, surgeons may need to release tight ligaments that surround the area. In general, patients can recover quickly from surgery in about two to four weeks.
Morton’s Neuroma Surgery Recovery
After surgery, you will have a cast or boot to help protect your foot and ankle. To fully recover, you’ll need plenty of rest and to do physical therapy. Penn physical therapists create personalized recovery plans depending upon the severity of your condition.
Recovery from foot surgery is different for everyone, taking anywhere from several weeks to months. You should speak to your doctor about what recovery might mean for your particular condition.