What is a Neuroma?

A neuroma, specifically Morton’s neuroma, is a benign growth of nerve tissue that typically develops between the toes, usually between the third and fourth metatarsals. It is not an actual tumor, but rather a thickening of the tissue around the nerves leading to the toes. This thickening can cause significant pain and discomfort when walking or wearing shoes.

What are the symptoms of a neuroma?

Tingling or numbness in the toes
Pain in the forefoot, especially when walking
A feeling like you are standing on a pebble in your shoe
Swelling between the toes

Neuroma FAQ

The exact cause of a neuroma is not always clear, but it is believed to result from irritation, pressure, or injury to one of the nerves that lead to the toes. Factors that can contribute to the development of a neuroma include wearing high-heeled shoes or footwear that is too tight, certain sports activities that place pressure on the feet, and foot deformities such as high arches or flat feet. Repeated stress to the foot can also play a role.

Diagnosis of a neuroma typically involves a physical examination of the foot by a healthcare provider. The doctor may apply pressure to the foot or manipulate it to replicate the pain. Imaging tests like X-rays are not useful for detecting neuromas but can be used to rule out other conditions. In some cases, an ultrasound or MRI may be performed to visualize the thickened nerve tissue more clearly.

Treatment for a neuroma focuses on relieving pain and pressure on the affected nerve. Initial treatments are usually non-surgical and may include:

Padding and taping the foot to relieve pressure on the nerve
Shoe modifications, such as choosing shoes with a wider toe box or avoiding high heels
Orthotic devices to provide better arch support and distribute pressure away from the nerve
Anti-inflammatory medications or corticosteroid injections to reduce pain and swelling

If these conservative measures do not alleviate symptoms, surgical options may be considered. Surgery involves removing the affected nerve or releasing the tissue surrounding the nerve. While surgery can be very effective, it may lead to permanent numbness in the affected toes.

You should consult a healthcare provider if you experience persistent pain, tingling, numbness, or swelling in your toes or forefoot, especially if these symptoms do not improve with changes in footwear or other self-care measures. Early treatment can prevent the condition from worsening and improve your long-term comfort and mobility.

For a proper diagnosis and recommended treatment plan,
we suggest you consult with a podiatrist for professional help and care.