Mortons Neuroma

Pressure can irritate and thicken a nerve near the toes, most often between the third and fourth toes.

Why it happens
Narrow shoes, high heels and repeated pressure during running or court sports can squeeze the nerve. Certain foot shapes may add to the pressure.

 What you may notice
Burning, tingling, numbness or a feeling like a pebble or bunched sock under the foot.

How the diagnosis is checked
There is often no visible bump or skin change. Your clinician may press between the toes, check joint motion and gently squeeze the forefoot to reproduce symptoms. X-rays can rule out arthritis or a stress fracture. Ultrasound may help assess the nerve; an MRI is not usually necessary.

 Treatment and what to expect
An exam helps locate the irritated nerve. Padding, inserts or injections may relieve symptoms. Surgery is an option if other care fails. Early treatment may help avoid lasting nerve damage. Taking off a tight shoe may give brief relief, but symptoms can return. Over time, pain or numbness may last longer. Continue the recommended footwear changes even after treatment helps you feel better.

 When to call
Arrange an early visit for recurring symptoms. Call if pain or numbness becomes more frequent or lasts longer.

 Your next steps
● Choose shoes with a wide toe area and low heels.
● Reduce activities that repeatedly press on the ball of the foot.
● Ask about a pad or shoe insert to reduce pressure on the nerve. Have the office show you where to place it.

 Understanding pads and injections
A metatarsal pad or shoe insert redistributes pressure across the front of the foot. Have the office show you its position and check how it fits in your shoe.

 A steroid injection may reduce swelling and provide relief, but the effect may be temporary. Continue the shoe and activity changes in your plan.

 If surgery is discussed
Surgery may release pressure around the nerve or remove a portion of it. Nerve removal can leave lasting numbness in nearby toes. Pain may persist or return, sometimes from a sensitive nerve end. Ask about these tradeoffs, wound care and the return to normal shoes before choosing a procedure.