What is a Morton’s Neuroma?

A Morton’s Neuroma is a swelling of a nerve that runs between the bones of the foot. There is pain on standing, which gets worse with time, especially when wearing closed leather shoes. The pain is usually, but not always, better in sandals, trainers and bare feet. The nerve entrapment leads to pins and needles in adjacent toes, or shooting pains. Sometimes the toes become splayed apart over time.

The symptoms of a Morton’s Neuroma can arise because the nerve is entrapped and has become swollen on one side - this makes the entrapment worse. Sometimes the symptoms are caused by a bag of fluid which forms as a lubricant between two bones. This bag can contain inflammatory chemicals that irritate the nerve.

The problem usually arises between the third and fourth toes, and the second and third toes. Between the third and fourth toes, lots of nerves come together.

If you have similar symptoms, it is best to see an orthopaedic surgeon who specialises in foot and ankle surgery. You should have x-rays taken in a standing position - this will allow other conditions of the forefoot to be excluded. There are lots of causes for pain in the forefoot, and Morton’s Neuroma is only one of them. If there is any doubt, then an MRI scan or an ultrasound scan may demonstrate a neuroma, but often they are not sensitive enough to pick them up. A full clinical examination and an injection is the best way to properly identify the neuroma.

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operation involvesMortons_Neuroma_Surgery.html
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after surgeryMortons_Neuroma_Rehab.html
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