3 Reasons it could be a Morton’s Neuroma.
Between each toe we have a nerve that runs to each toe. When this nerve is squeezed or tightened it becomes irritated and starts to swell. The nerve becomes thickened in response to this irritation.
Do you feel a painful spot under your toes everyday? Like a having a pebble trapped under your toe?
Does the pain feel like it’s tingling, burning, numbing or sharp and shooting ?
Are you fed up? Is it stopping you from walking as far as you wish?
What is causing this pain?
- Weak Muscles & Poor Balance: When you walk you maybe transferring your body weight unevenly from one foot to another. This can cause the ankle to collapse inwards. Your long metatarsal bones, (toe bones) cane squeeze the nerve and irritate it.
- Tight Shoes or shoes that don’t fit: Every week in clinic I see at least 10 people whose shoes are too small for them. While recovering, a wide fitting flat shoe with a strap or laces is the best option. Preferably a runner like Asics or Brooks just until we get the inflammation under control and get you pain free.
- Trauma to the Foot: Think back, have you stood on anything? Lego, pegs, stone in your shoes? A longer than usual walk? This may have caused bruising to the toes and caused the nerve to become irritated.
How do we treat Morton’s Neuroma in Clinic?
- Your Podiatrist will carry out a full biomechanical assessment and a series of tests including a scan of your feet. We will check your feet, feel the bones and what position they’re lying in.
- Check the balance and muscle strength. We will also video how you walk and replay this for you on our gait scanner. This will show you the exact area of pressure and what is causing your pain.
- We do not want you to rely on Painkillers anymore! Orthotics and insoles might be useful to offload your foot and reduce the irritation to the nerve. This will calm down the swelling and relive your pain.
- Don’t worry, orthotics are not for life. We will teach you simple exercises which you can do at home. This will strengthen your muscle and make you stronger, getting you back to your favourite activities.
- If your podiatrist feels it is necessary, a referral can be made to a surgical consultant for possible removal of the affected tissues. Corticosteroid injections can also give relief by reducing nerve swelling and we will recommend if this is the correct option for you.