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Morton's Neuroma

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A Morton's neuroma is a thickening or irritation of the nerve between the toes, typically between the third and fourth toes. It can cause significant pain and discomfort, making footwear difficult.

Symptoms

• Sharp, radiating or burning pain between the toes
• A sensation of walking on a pebble
• Numbness or tingling in the affected toes
• Symptoms that worsen with tight footwear or prolonged activity

Causes

• High activity levels — strenuous walking, running, or sport
• High-heeled, pointed, or tight footwear
• Associated foot conditions such as bunions, hammer toes, or flat feet

Non-Surgical Treatment

• Wider, lower-heeled footwear to reduce pressure
• Maintaining a healthy weight to reduce foot load
• Over-the-counter pain medication
• Custom orthotics to redistribute weight away from the neuroma
• Ultrasound-guided steroid injection with anaesthetic — resolves symptoms in approximately 50% of cases

Surgery — Neuroma Excision

If other treatments fail, the damaged nerve can be surgically removed. Performed as a day case under general anaesthetic through a small incision on the top of the foot. Rest at home for two weeks is advised with the foot elevated and the dressing kept dry.

Recovery

Timeframe	What to Expect
0–2 weeks	Rest at home. Foot elevated. Dressing kept dry.
2 weeks	Return to non-manual work.
6–12 weeks	Return to high-impact activities.