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Information Sheet No. 19Morton’s NeuromaMorton’s Neuroma, also known as?Morton’s Metatatsalgia?or?Interdigital Neuroma, is a condition that affects the nerves between the toes.Most commonly affecting the recess between the third and fourth toes – though also occurring between the second and third – this irritation leads to the nerve thickening and enlarging, resulting in a compression of the nerve as a whole.Morton’s Neuroma can result in either an unusual numbness of the toes or a discomfort in the ball of the foot, eventually becoming a sharp, stabbing or burning pain.The exact cause of Morton’s Neuroma is unknown and sufferers come from every walk of life regardless of lifestyle and activities.Stress and pressure on the area is considered a common cause of the condition, often brought about by ill-fitting shoes such as high heels and tightly worn ‘fashionable’ styles. Pre-existing conditions such as high arches or?Flat Feet?can also make you vulnerable to developing the condition.?Rest, is the recommended treatment for the early signs of Morton's Neuroma. Taking part in running or high-impact sports will only compound the problem and make the symptoms worse. As with any ‘sports’ injury a few days rest will increase the chances of a quicker recovery.How do I know if I have Morton’s Neuroma?Morton’s Neuroma will manifest itself in several ways — it may give you the sensation of having a stone in your shoe or a ‘pins and needles’ feeling passing throughout the foot. Numbness or a stabbing pain in the toes and ball of the foot can also suggest the presence of this condition and it is not uncommon for these symptoms to come and go as they please.Pain and discomfort caused by Morton’s Neuroma will often be considerably worse when walking on the affected area or wearing shoes which apply pressure to it. Left untreated, such pain can become much more constant and much worse, and without giving the nerve time to heal and recover, the damage can become permanent.Treating Morton’s Neuroma really depends on the age of the symptoms, and we generally recommend that an ultrasound scan to diagnose the condition is obtained.Sufferers who are within the early stages of the condition are recommended to aid the rest and recovery of the area by applying icepacks and performing gentle massage while avoiding sports or excessive activity, whilst long-term sufferers with a neuroma larger than 7mm may find that surgery or ultrasound guided injection therapy carried out by a Podiatric Surgeon/Consultant provides the most effective relief for the later-stage symptoms. Sufferers at all stages of the condition are highly recommended to avoid tight fitting shoes, poorly-fitting fashionable shoes and high heels.Ensuring that your feet sit well and are supported inside your shoe is essential, and therefore an insole or orthotic is an effective way of keeping Morton's Neuroma symptoms at a comfortable level while you recover.Treatments available at Walkwel Clinic:Foot Mobilisation Therapy (FMT) Prescribed Foot Exercises Prescription Orthotics Shockwave Therapy is helpful, but only in cases where the neuroma is not too large (i.e. less than 7mm).? ................
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