about Morton’s Neuroma
Overview
Morton’s Neuroma is an enlarged nerve that usually occurs between the third and fourth toes, but a neuroma can also occur between the second and third toes. It causes shooting or burning pain on the ball of the foot. The pain can occur when walking but nerve pain can also happen with no weight on your foot.
It causes shooting or burning pain on the ball of the foot.
The nerve lies in the subcutaneous tissue, just above the fat pad on the bottom of the foot between the metatarsal bones. The ground pushes up on the enlarged nerve with each step causing the nerve to be pinched between the metatarsal bones causing pain. The nerve normally gets bigger from the pinching and increases in pain as the problem gets worse.
about Morton’s Neuroma
Symptoms
The most common symptom is localized pain between the metatarsal bones on the bottom of the foot. It can be sharp and is worsened by shoes or walking. Many times people have shooting or throbbing pain when they are off their feet.
Diagnosis
Usually it is easy, there is localized pain on the bottom of the foot. Commonly simply palpation to the area elicits pain when we hold the foot and push carefully on the area which causes an audible click which is the nerve being pinched between the metatarsal bones.
Our Treatment
In most cases a mild steroid injection is given 1 to 3 times over a few weeks period. This can reduce the pain. The injection is given from the top of the foot with a cold spray, this significantly reduces discomfort from the shot. If pain persists, chemical neurolysis injections can be used its generally very helpful but may result in slight numbness to the nerve area. In some cases, custom orthotics can help also.
If pain persists, chemical neurolysis injections can be used its generally very helpful but may result in slight numbness to the nerve area.
Surgery is rarely necessary, The incision is made on top of the foot to prevent a bad scar on the sole of the foot this also allows for early weight-bearing after surgery, which can be performed in the office or outpatient. Complications are rare, but the nerve can redevelop.
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