SportsMed Podiatry | Morton’s Neuroma

Morton’s Neuroma

A Morton’s Neuroma is a inflammation and consequent thickening of the inter-digital nerve that typically runs in-between the 2nd & 3rd and/or 3rd & 4th distal inter-metatarsal spaces of the feet.  It often occurs in conjunction with an inflammation of the intermetatarsal bursa which are irritated by the same mechanism.


Symptoms include:

  • Numbness in the 2nd, 3rd and/or 4th toes
  • Burning pain in the ball of the feet while weight-bearing


Clinical Test

  • Squeeze test – looking for a Mulder’s click – where you can feel the nerve “click” in-between the metatarsal heads when you squeeze the forefoot



Causes include:

  • History of wearing shoes that are too tight e.g. women’s casual & dress shoes, pointed toed shoes
  • Very wide feet
  • Sports and running shoes that are not fitted properly


Conservative Treatments include:

  • Initial semi-compressed felt metatarsal dome padding to see if can offload neuroma successfully
  • If able to offload successfully then building a foam metatarsal dome into a pair of Orthotics as longer term solution
  • Suitable width footwear – work, casual and sports
  • Home treatment – Ice and non steroidal anti-inflammatory drugs


Non-Conservative treatment

  • Referral to a Sports Physician for a cortico-steroid injection
  • Potential referral to an orthopaedic surgeon for consideration for removal