Morton’s Neuroma Causes Foot Pain


Having a sense that there is an object such as a pebble in your shoe is the main symptom of a condition called Morton’s neuroma — but when you take off your shoe to check, there’s no pebble! It’s just the feeling that occurs when a metatarsal ligament traps a nerve causing inflammation and discomfort. When this feeling occurs between the second and third, or third and fourth metatarsal bones that lead to your toes, a neuroma is often the cause.

Neuromas are the result of injury and pressure that affects the nerves that connect to your toes. Women are diagnosed with this condition nearly four times as often as men because of wearing high heeled shoes. High-stress sports such as tennis, jogging, and basketball and any actions which cause repetitive stress to the feet can also contribute to neuroma formation. People with foot deformities including bunions and flat feet are also more susceptible to developing a neuroma.

Treatments for Morton’s neuroma

Depending upon the severity of your neuroma your foot doctor will suggest the following treatments:

  1. Trying different footwear - Shoes with a wide toe box will help to relieve pressure on the interdigital nerve which is the main nerve that is often inflamed by this condition.
  2. Curtailing activities - Cut down on wear and tear to your feet by taking it easy with sports or other strenuous activities.
  3. Using custom orthotic inserts - Custom orthotic inserts and foam pads may help to relieve pressure and irritation by shifting the stress to other areas of the foot.
  4. Taking pain medications - Ibuprofen or other anti-inflammatory drugs will reduce inflammation and pain.
  5. Icing to reduce swelling - Applying ice to the area for 15-minute intervals several times a day will reduce swelling and pain.

If you feel like you have a pebble in your shoe when there is nothing there, you may have a neuroma that needs to be treated by your foot care professional. At Monroe Foot & Ankle Care, Dr. Elliott M. Perel treats a variety of conditions including diabetic foot problems, bunions, nail fungus, arthritis, and heel pain. Equipped with advanced technologies including shockwave therapy, MLS Laser treatment, and computerized gait analysis, Monroe Foot & Ankle Care provides specialized, high-quality service for patients across central New Jersey. For any problems you may be experiencing with your feet and ankles, contact our Monroe/Jamesburg office at (732) 521-2155 for an appointment.