Morton’s Neuroma Perth
Understanding Morton’s neuroma and treatment options
- Author: Gerard Hardisty
- First published:
Morton’s Neuroma
What is it?
Morton’s Neuroma is a painful condition that affects the nerves between the toes, typically between the third and fourth toes. It occurs when the nerve thickens due to irritation or compression, forming a painful lump on the nerve. This leads to sharp, burning pain or a sensation similar to standing on a pebble.
“This compression between the metatarsal heads increases with high heels or narrow shoes, which intensifies the pain.”
Morton’s neuroma is named after Dr Thomas Morton, an American surgeon who first described it in 1876. It’s called a “neuroma” because it involves a thickening of the nerve between the toes, which causes pain. So, it’s named after the doctor who discovered and explained the condition!
Morton’s Neuroma causes
What causes Morton’s Neuroma?
Morton’s neuroma develops when the nerve between the toes is repeatedly compressed or irritated. Factors contributing to Morton’s neuroma include:
- Footwear: High heels or tight shoes increase pressure on the forefoot, worsening the neuroma.
- Foot structure: High arches, flat feet, or deformities like bunions can increase risk.
- Repetitive stress: High-impact activities, such as running, can aggravate nerve irritation.
- Trauma: Injuries or sudden trauma to the foot can trigger nerve irritation, potentially leading to the development of a neuroma.
“This compression between the metatarsal heads increases with high heels or narrow shoes, which intensifies the pain.”
Morton’s Neuroma symptoms
Common Morton’s Neuroma Symptoms
Common symptoms include:
- Sharp, burning pain in the ball of the foot that can extend into the toes.
- Numbness or tingling between the toes.
- The sensation of having a pebble in the shoe or a fold in the sock.
- Worsening symptoms when wearing tight shoes, with relief when barefoot or in wider shoes.
These symptoms often start mildly and may worsen over time as the neuroma grows.
Diagnosis & Treatment of Morton’s Neuroma
How is Morton's Neuroma diagnosed and treated?
Diagnosis of Morton’s Neuroma
Diagnosis usually involves a physical examination and the following methods:
- Palpation: Pressing the area to locate tenderness or a lump.
- Compression tests: Applying pressure to reproduce symptoms.
- Imaging tests: Ultrasound or MRI can confirm the presence of a neuroma and exclude other conditions.
Treatment options for Morton’s Neuroma
Most cases can be managed with non-surgical treatment, including:
- Footwear modifications: Switching to wider, cushioned shoes can relieve pressure.
- Orthotics: Custom orthotic devices help redistribute pressure and reduce pain.
- Medications: Anti-inflammatory drugs can help manage pain and reduce inflammation.
- Corticosteroid injections: Targeted injections can reduce swelling and provide pain relief.
“Trying non-operative treatments is essential. If symptoms persist despite these efforts, then surgery can be considered.”
Are there any risks with this type of surgery?
As with any surgery, there are some general risks, including infection, bleeding, and blood clots. The risks of Morton’s neuroma surgery are generally minimal unless you have pre-existing conditions like circulation problems or diabetes. Specific risks include wound issues, nerve damage (which will cause some numbness), persistent pain, and swelling, though swelling usually improves over time.
Morton’s Neuroma surgery Perth
Surgical treatment for Morton’s Neuroma
Surgery is an option if symptoms don’t improve with other treatments. It involves removing the neuroma to stop the pain. The procedure is usually done under general anaesthesia, through an incision on the top of the foot. The nerve lump is removed to stop it from being squeezed again.
You may experience some numbness in the toes post-surgery, but it is generally preferable to ongoing pain.
“Most patients notice significant improvement within 2-6 weeks, with complete comfort in footwear typically achieved by 6-12 weeks after surgery.”
Recovery after surgery
Post-operative recovery involves:
- Local Anaesthetic (LA) block: This is used during surgery to numb the foot and manage pain for 6-12 hours after the operation.
- Protective footwear: Patients wear a Darco shoe or surgical sandal to protect the site.
Elevation: Keeping the foot elevated to minimise swelling. - Podiatric rehabilitation: In selected cases, rehabilitation can aid recovery and restore foot function.
| Activity | Timeframe (approximate) |
|---|---|
| Walk with surgical shoe/sandal | 2 weeks |
| Walking in wide shoes | 2-6 weeks |
| Most activities and shoes | 6 weeks - 3 months |
| Full recovery | 3-6 months |
Morton’s Neuroma Perth
Why choose The Foot & Ankle Centre?
At The Foot & Ankle Centre, we specialise in diagnosing and treating Morton’s neuroma, offering both non-surgical and surgical options tailored to individual needs.
“With over 25 years of experience, our focus is on helping patients achieve pain-free mobility and improved quality of life.”
If you suspect Morton’s neuroma or are experiencing foot pain, reach out to The Foot & Ankle Centre. Our team is here to guide you towards a comfortable, active lifestyle.
