Mortons Neuroma

Overview

Morton’s neuroma is a painful condition that affects the ball of the foot, most commonly occurring between the third and fourth toes. It involves the thickening of the tissue surrounding one of the nerves leading to the toes, resulting in discomfort and various symptoms. This condition is often described as feeling like there is a pebble in the shoe, and it can significantly affect mobility and quality of life if left untreated.

Introduction

First identified by Dr. Morton in the 19th century, Morton’s neuroma primarily affects individuals who engage in activities that put excessive pressure on the forefoot. It is particularly common among athletes and individuals who wear tight or high-heeled shoes. In India, where sports participation is high and traditional footwear can sometimes contribute to foot problems, awareness of Morton’s neuroma is essential for early diagnosis and effective management.

Symptoms

The symptoms of Morton’s neuroma can vary but typically include:

– Pain: A sharp, burning pain in the ball of the foot, often radiating into the toes.
– Numbness or Tingling: Sensations of numbness or tingling in the affected toes.
– Feeling of a Pebble: Many individuals report feeling as if they are walking on a pebble or a fold in their sock.
– Worsening Pain with Activity: Symptoms may intensify during weight-bearing activities or when wearing tight shoes.
– Relief from Removing Footwear: Pain often subsides when shoes are removed or when massaging the foot.

Symptoms may start mildly but can progressively worsen over time without appropriate treatment.

Causes

Morton’s neuroma is caused by various factors that lead to irritation and compression of the nerve:

– Footwear: Wearing narrow, high-heeled shoes that compress the toes can contribute significantly to the development of this condition.
– Repetitive Stress: Activities involving repetitive pressure on the forefoot, such as running or court sports, can lead to irritation of the nerve.
– Foot Deformities: Conditions such as bunions, hammertoes, or flat feet can alter foot mechanics and increase stress on the nerves.
– Trauma: Direct injury to the foot may also lead to nerve irritation.

Treatment

Treatment for Morton’s neuroma focuses on relieving symptoms and addressing underlying causes:

– Footwear Modifications: Switching to shoes with a wider toe box and better arch support can alleviate pressure on the affected nerve.
– Orthotics: Custom-made shoe inserts can help redistribute weight away from the affected area.
– Medications:
– NSAIDs: Nonsteroidal anti-inflammatory drugs can help reduce pain and inflammation.
– Corticosteroid Injections: Injections into the affected area may provide temporary relief from pain and swelling.

– Physical Therapy: Stretching and strengthening exercises can improve foot mechanics and reduce symptoms.

– Surgery: If conservative treatments fail to provide relief, surgical options such as nerve decompression or excision may be considered.

Prevention and Risk Factors

Preventive measures for Morton’s neuroma include:

– Choosing Appropriate Footwear: Wearing shoes that provide ample space for the toes and adequate support can help prevent this condition.
– Maintaining Foot Health: Regular foot exercises that strengthen muscles and improve flexibility may reduce risk.
– Avoiding High-impact Activities: Limiting activities that put excessive stress on the forefoot can help prevent irritation.

Risk factors for developing Morton’s neuroma include:

– Age and Gender: More common in women than men, particularly those aged 30 to 60 years.
– Foot Structure: Individuals with certain foot deformities are at higher risk.
– Occupational Hazards: Jobs that require prolonged standing or repetitive movements may increase susceptibility.

Insights from Sancheti Hospital

At Sancheti Hospital, we understand that Morton’s neuroma can significantly impact your daily activities and overall quality of life. Our team of experienced orthopaedic specialists employs advanced diagnostic techniques to accurately assess your condition. We offer a comprehensive range of treatment options tailored to individual needs, ensuring optimal recovery. Our focus on patient education empowers individuals with knowledge about their condition while promoting proactive management strategies for better outcomes. By addressing both immediate symptoms and long-term health goals, we strive to enhance our patient’s quality of life through compassionate care.