Understanding Morton’s Neuroma And The Treatment Options

Morton’s Neuroma Injections

Morton’s Neuroma is a condition, that is often painful, the impacts that ball of your foot around the area that is between the third and fourth toes. This is a foot issue that may almost feel as though you have a pebble in your shoe or a fold in your sock. It involves a thickening of the tissue that is around the nerves and leading to your toes, which can cause a burning, sharp pain that impacts the ball of your foot. Some patients will also have problems such as burning, stinging or numbness in their toes.

The treatment strategies for this condition may range from conservative, non-invasive therapies all the way up to surgical intervention. If you are looking for a more conservative approach, you may benefit most from seeing a physical therapist. The right professional will be able to assist your physician when it comes to decisions like modifying footwear, which happens to be the first step for treatment. It is generally recommended that the patient wears shoes with a soft sole, low heel and a wide toe box. Any narrow, high-heeled or non-padded shoes should never be worn, as they can aggravate the condition even further.

The next conservative management step will be to alter the metatarsal head alignment. On action would be to elevate the medial metatarsal head adjacent to the neuroma, which prevents irritation and compression of the digital nerve. A plantar pad is also commonly used to help with elevation, where having the patient insert either a gel or felt pad into the shoe will give a good amount of elevation for the metatarsal head.

Other physical therapy treatment ideas for any patient dealing with a Morton’s Neuroma will include ultrasonography, cryotherapy, stretching exercises and deep tissue massage. Ice can also be very beneficial for helping with inflammation that is associated with the condition. Depending on your individual case, it may also be recommended that phonophoresis is used over regular ultrasonography to help cut back on the inflammation and pain.

If your physician believes that surgical intervention is necessary for your Morton’s Neuroma, it is going to be best that you consult an orthopaedic surgeon ( that specializes in foot and ankle surgery.

However, another treatment approach is one that involves injections to the Morton’s Neuroma at the dorsal aspect, just about one to two cm proximal to the webspace, falling in line with the MTP joints. Such injection will usually be a mixture of an anesthetic and corticosteroid to help bring down the inflammation and give the patient much needed relief.

Whenever you feel as though you may be developing issues stemming from a Morton’s Neuroma in your foot, it is always going to be best that you seek the help and guidance of a professional. It is only then that you will be able to get the treatment that you need so that you may hopefully get back to life as you knew it, free of pain and good range of motion for your daily activities.