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Morton's neuroma is an enlarged nerve that usually occurs in the third interspace, which is between the third and fourth toes. The reason the nerve enlarges has not been determined. Flat feet can cause the nerve to be pulled toward the middle more than normal, which can cause irritation and possibly enlargement of the nerve. The syndrome is more common in women than men, possibly because women wear confining shoes more often. High heels cause more weight to be transferred to the front of the foot and tight toe boxes create lateral compression. As a result, there is more force being applied in the area and the nerve compartment is squeezed on all sides. Under such conditions, even a minimal enlargement in the nerve can elicit pain.
Treatments commonly involve changing shoegear, resting your feet, and using
orthotics with metatarsal support to help take pressure off the area. In some
cases, your doctor may recommend anti-inflammatory medication or injection
therapy. If pain persists, however, surgery would be indicated. There are fantastic
new procedures which provide a minimal incision approach to resolving the pain
from a Morton’s neuroma.
