Morton’s neuroma (also called Intermetatarsal Neuroma or Plantar Neuroma) is a painful condition most often affecting the ball of the foot, typically between the third and fourth toes. It happens when tissue around a nerve thickens due to repetitive pressure or irritation. This thickened nerve tissue causes pain, burning, tingling, or numbness in the forefoot—sometimes described as the sensation of having a pebble in your shoe. Symptoms may worsen while walking, standing, or wearing tight, narrow, or high-heeled shoes.
Causes include compression or injury from footwear, repetitive sports activities (such as running), foot deformities like bunions or hammertoes, abnormal gait, and occasionally without a clear reason. The pain can come on gradually, and there is usually no visible lump. Numbness and persistent discomfort indicate it is important to see a podiatrist. Early diagnosis and intervention are essential for the best outcomes and to avoid surgery if possible.
Treatment depends on severity. Conservative measures may include wearing wide, supportive shoes with a roomy toe box, using custom orthotics, arch padding, icing, activity changes, and anti-inflammatory medication. Reducing activities that cause constant pressure on the area and using ice or custom orthotics can often help reduce symptoms. In more persistent or severe cases, injection therapy (such as corticosteroid injections) and, only when needed, surgical interventions are recommended—such as removing or relieving pressure on the nerve. Recovery following surgery may vary depending on the approach and involves instructions to prevent recurrence, including wearing properly-fitted shoes and changing workout patterns if necessary.
Prevention focuses on footwear that does not pinch or squeeze the forefoot, activity modification, and addressing underlying foot deformities. If pain or discomfort persists, see your podiatrist promptly for thorough evaluation and tailored treatment options.
