Morton’s Neuroma

Morton’s neuroma is a common cause of forefoot pain, and very treatable when caught early.

Morton’s neuroma is a thickening of the nerve tissue between the metatarsal bones, most often between the third and fourth toes. People typically describe burning, tingling, or the feeling of “walking on a pebble”, and it often responds well to mechanical and footwear changes.

Common causes

• Tight, narrow or high-heeled footwear
• Repetitive forefoot loading (running, hiking, standing all day)
• High-arched or rigid feet
• Trauma or repeated minor injury to the forefoot
• Compression of the nerve between metatarsal heads

How we treat it

• Clinical assessment and Mulder’s click test
• Wider, cushioned footwear with low heel
• Metatarsal domes to spread the metatarsals
• Custom orthotics with neuroma offloading
• Referral for ultrasound or injection if indicated

Related services: Foot Pain · Orthotic Therapy