What Is Morton’s Neuroma? Symptoms, Causes, and When to Seek Help

Morton’s neuroma is a painful condition that affects the ball of the foot, usually between the third and fourth toes. It develops when the tissue around a nerve that leads to the toes thickens, typically due to excessive pressure or irritation. People who experience this issue often describe it as feeling like they’re walking on a pebble or having something bunched up in their shoe. Though it’s not a tumor, the word “neuroma” refers to the growth or thickening of nerve tissue. Understanding this condition can help you identify symptoms early and know when to seek proper care.

1. Understanding Morton’s Neuroma

Morton’s neuroma develops when one of the nerves between the metatarsal bones becomes compressed or irritated. This compression causes the nerve tissue to thicken, leading to pain, numbness, or a burning sensation in the ball of the foot. The condition typically affects only one foot and often appears in people who wear tight or high-heeled shoes for long periods. Athletes who engage in high-impact sports like running may also experience this issue. Early recognition can make a significant difference in how easily and effectively it can be treated, often avoiding the need for more invasive procedures.

2. Common Causes and Risk Factors

The exact cause of Morton’s neuroma varies from person to person, but several factors commonly contribute. Wearing shoes that squeeze the toes or put excessive pressure on the forefoot is one of the most frequent causes. High heels, especially those over two inches, can drastically increase your risk. Activities that involve repetitive stress to the foot, such as jogging or sports that involve jumping, can also trigger the condition. Foot structure plays a role, too. People with flat feet, high arches, or bunions face a higher risk. In such cases, visiting a podiatrist for Mortons neuroma ensures proper diagnosis and treatment tailored to your foot’s structure and lifestyle.

3. Recognizing the Symptoms Early

The symptoms of Morton’s neuroma can range from mild discomfort to intense, shooting pain. Most people report a burning sensation in the ball of the foot, often radiating toward the toes. Tingling or numbness in the affected toes is also common. These symptoms usually worsen during activities that involve pressure on the forefoot, such as walking, running, or standing for long periods. Many individuals describe the feeling as though they are standing on a marble or having a wrinkle in their sock. Catching these early signs allows for quicker intervention, reducing the chance of long-term complications.

4. When Footwear Becomes the Culprit

Shoes often play a central role in the development and worsening of Morton’s neuroma. Footwear that narrows at the toe or has insufficient padding in the forefoot can place pressure directly on the nerves. High heels are particularly problematic because they shift weight forward, concentrating pressure on the ball of the foot. Over time, this repetitive pressure causes the nerve to thicken and become inflamed. Switching to shoes with a wide toe box, cushioned soles, and low heels can bring immediate relief. Supportive insoles and custom orthotics also help distribute pressure more evenly across the foot, easing the symptoms.

5. The Impact on Daily Life

Morton’s neuroma doesn’t just cause discomfort—it can affect your quality of life. Walking short distances may become painful, and standing for extended periods can feel unbearable. Many people find themselves avoiding favorite activities like hiking, running, or even casual strolls due to the pain. This avoidance can lead to reduced physical activity, affecting overall health and well-being. Over time, constant discomfort may also take a toll on your mood and energy levels. Identifying the condition early and taking steps to relieve the pressure can restore mobility and prevent further limitations in your daily routine.

6. Diagnosis: What to Expect at the Clinic

When symptoms persist, visiting a healthcare provider becomes essential. During your appointment, the doctor will ask about your symptoms and may press on the affected area to reproduce the pain or tingling. This simple step often helps confirm Morton’s neuroma. They may also check your walking pattern and evaluate your foot structure. In some cases, imaging tests like ultrasound or MRI help rule out other foot issues, such as stress fractures or arthritis. These tests don’t always show the neuroma itself, but they’re useful in providing a full picture. A clear diagnosis allows for more targeted and effective treatment.

7. Non-Surgical Treatment Options

The good news is that many cases of Morton’s neuroma respond well to non-surgical care. The first step often involves footwear changes—switching to shoes with wider toe boxes and better arch support can relieve pressure. Over-the-counter or custom orthotic inserts can provide extra cushioning. Anti-inflammatory medications may ease pain and swelling. In some cases, doctors recommend corticosteroid injections to reduce inflammation around the nerve. Physical therapy, including massage and stretching exercises, can also improve symptoms. These conservative methods can bring significant relief and allow many people to resume normal activities without needing more invasive options.

8. When Surgery Becomes Necessary

If non-surgical treatments fail to provide relief after several months, surgery may become the next step. Surgical procedures for Morton’s neuroma typically involve removing the affected nerve or relieving pressure around it by cutting surrounding ligaments. Though effective, surgery can result in some permanent numbness in the toes since the nerve is removed. Most people, however, experience significant pain relief and improved foot function after recovery. Your doctor will consider your symptoms, lifestyle, and treatment history before recommending this option. A detailed conversation about the risks and benefits helps you make an informed decision.

Morton’s neuroma may sound intimidating, but it’s a manageable condition when caught early and treated properly. The key lies in understanding the causes, recognizing the symptoms, and knowing when to take action. Simple changes like adjusting footwear, using orthotics, and seeking guidance from a podiatrist can make a world of difference. In more severe cases, surgery remains a reliable solution with positive outcomes. Don’t let foot pain interfere with your daily life—listen to your body, take preventive steps, and seek help when needed. Your feet carry you through life; giving them the care they deserve is always worth it.