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How to treat Morton’s neuroma

Morton’s neuroma is a sore condition affecting the ball of the foot especially the site between the 3rd and the 4th toes. It causes a sensation as if stepping on a pebble. This condition causes one of the nerves on the toes becomes thickened and cause severe burning pain in the ball of the feet. It may burn, sting or feeling numb.

Morton’s neuroma is due to complex biochemical changes that happen in the feet such as scarring and thickening due to overloading of tissues. The body protects this overloaded structure with scar tissue.

Causes of Morton’s neuroma

  • Wearing shoes with high heels and ill fitting or tight shoes that place excessive pressure on the toes and the ball and toes of the foot.
  • Having deformities of the foot such as hammertoes, bunions, flat feet or high arches.
  • Playing high impact athletic activities such as running or jogging causes repetitive trauma on the feet.
  • Sports that uses tight shoes such rock climbing, snow skiing.
    Morton’s neuroma

    Burning pain felt in the ball of the foot that spreads to the toes.

Symptoms

  • Burning pain felt in the ball of the foot that spreads to the toes.
  • A sensation as if stepping on a pebble inside the shoe or on wrinkled or crumpled socks.
  • Tingling or numbness sensations in the toes
  • A bulge or fullness between the toes.
  • A feeling that the toes are sleeping.
  • Clicking sensations when walking
  • A frequent feeling of taking off the shoes and massaging the foot.

Treatment

  • Avoid wearing pointed, tight and high heeled shoes. Choose shoes that are fitted properly with adequate room for the toes to prevent worsening of the condition. If there is a need to wear high heels, put pads or cushions inserted on the shoe to lift and separated the metatarsals and to lessen the pain.
  • Apply a cold pack on the affected area for at least 10-15 minutes at a time to lessen the inflammation and the pain. Wrap ice pack using a towel before placing to the area to prevent ice burn and delays the healing.
  • Take prescribed anti-inflammatory medications to lessen the swelling and the pain
  • Rest the feet as much as possible. Avoid performing activities that puts excessive pressure on the toes such as running and racquet sports.
  • Massage and stretching the feet gently to open the space between the bones or the metatarsal in the ball of the foot. It also increases flow to blood in the area, lessen the inflammation and the pain.
  • Prescribed steroid injection to lessen the pain and the inflammation.

Tips

  • Avoid wearing tight shoes with high heels for prolonged periods of time.
  • Wear orthotic inserts for the shoes to prevent excessive pressure placed on the ball of the foot. Shoes with wide toe box where there is enough space to wiggle the toes is good for the condition.
  • When walking or standing for longer time, wear padded socks to protect the ball of the feet.

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