Morton’s Neuroma

Recommended orthotics for Morton’s Neuroma Insoles

Morton's Neuroma

Morton’s Neuroma occurs when the nerve between the 3rd and 4th metatarsal bones is squeezed. This region is particularly vulnerable to nerve impingement because it is where the lateral and medial plantar nerves join and typically the nerve is slightly thicker at this junction.  This condition is similar to Metatarsalgia but includes a lack of sensation and tingling in the toes. This condition can be very painful at times.

Neuromas are defined as benign nerve tumours. Morton’s Neuroma is not a tumour. It is a swelling and thickening of tissue that surrounds the digital nerve. The digital nerve works to receive messages and relay actions to the toes.

Signs and Symptoms

  • Lack of feeling in the toes
    a tingling feeling in the toes and feet
  • Extremely severe pain that radiates from the ball of your foot all the way down to your toes
  • The discomfort is made worse by movement.
  • You could not even feel any pain in the morning, but as the day goes on and you participate in activities, you might start to experience some discomfort.

Morton's Neuroma

Morton’s Neuroma is similar to Metatarsalgia. It is the ‘squeezing’ of the nerve that is located between the 3rd and 4th metatarsal bones. A neuroma is a minor tumor of a nerve. Morton’s Neuroma on the other hand is not actually a tumor. It is a thickening or swelling of the tissue surrounding the digital nerve that leads to your toes.

Signs and Symptoms

  • Numbness in toes
  • Tingling sensation in the toes
  • Immense burning pain in the ball of your foot moving towards your toes
  • Pain worsens with activity
  • Little to no pain early in the day, but you may start to feel it as the day progresses and you engage in activities

What causes Morton's Neuroma?

The exact cause of this condition is not fully understood. It usually affects women over 50 and the condition is aggravated by tight-fitting footwear.  Faulty foot mechanics (i.e. over-pronation) may be a contributing factor. The condition seems to occur in response to irritation, pressure or injury to one of the nerves that lead to the toes. The neuroma is part of your body’s response to the irritation or injury. Often dropping of the metatarsal bones (as a result of over-pronation) contributes to the problem.

How can we treat this condition?

First of all a change in footwear is required. One must refrain from wearing any tight fitting shoes and wear a soft broad type of shoe with plenty of room in the toe box.

Rest, ice, anti-inflammatory medication can help ease the pain. Cortisone injections may resolve the pain in some people. If the neuroma is small in size a course of 5-6 injections of local anaesthetic around the neuroma can also be helpful.

Cortisone injection

This is a steroid medication injection that may reduce pain and inflammation. However, overuse of cortisone can lead to a number of side effects and other problems later in life. Do consult your doctor before opting for such an extreme solution.

Potential cortisone side effects

  • Weight gain
  • Thinning of bones
  • High blood pressure
  • Cataracts

In case of severe or persistent pain your doctor may suggest the following

  • Cortisone injection

This is a steroid medication injection that may reduce pain and inflammation. However, overuse of cortisone can lead to a number of side effects and other problems later in life. Do consult your doctor before opting for such an extreme solution.

Potential cortisone side effects

  • Weight gain
  • Thinning of bones
  • High blood pressure
  • Cataracts

Surgery

A Morton’s Neuroma operation involves removing the enlarged nerve by a cut made at the top of the foot. The deep transverse metatarsal ligament which causes the constriction above the nerve is released. The thickened nerve is then isolated from the surrounding tissue and cut where the nerve trunk appears normal again.

How orthotics can help

Footlogics Catwalk orthotics can help reduce the symptoms of Morton’s Neuroma that occur while wearing women’s fashion shoes. Orthotic insoles lift and support the forefoot to prevent the metatarsals from falling. This support helps prevent squeezing on the nerve, which relieves both tingling and pain arising from Morton’s Neuroma.

 

Morton’s Neuroma can also occur  while wearing ordinary, flat shoes. Footlogics Metatarsalgia ¾ of full-length orthotics provide metatarsal support and lifts the bone formation to avoid undue tension and chafing on the metatarsals. The support prevents abrasion and force on surrounding ligaments and nerves. When suffering from Morton’s Neuroma, it is recommended you seek the advice of a podiatrist. In some instances, surgery is required.

Inserts for Morton’s Neuroma

Many different types of inserts designed specifically to alleviate the pain of Morton’s Neuroma are available from Footlogics. These unobtrusive and straightforward items provide excellent and long-lasting relief from the pain and discomfort associated with Morton’s Neuroma, and they can be used with any pair of closed-toe shoes.

When used in shoes that don’t fit properly, these inserts can prevent knee and back pain, among other ailments and health issues.

Morton’s Neuroma Insoles

Footlogics is the name to remember if you want to find a high-quality range of insoles for Morton’s neuroma that were made by professionals.

We have a variety of products so that customers can choose the insoles that will help them feel better and noticeably less pain. Users of our insoles will be able to stop being limited by foot pain and get back to doing what they love. Get in touch with Footlogics today to find out more.

Morton's Neuroma and Metatarsalgia​

Compression of the interdigital nerve of the toe, resulting in pain and numbness in the toes, is known as Morton’s neuroma. Commonly affected nerves include those in the ball of the foot, specifically between the third and fourth toes.
In nonsurgical treatment, the emphasis is placed on stabilising the foot through physiotherapy and the use of rocker-soled shoes. There are risks associated with steroid injections despite the fact that they may provide temporary or permanent relief.
Decompression or excision of the affected nerve is a common surgical procedure. There is currently no conclusive evidence that suggests one method is superior to another.

Interdigital nerves pass between metatarsal heads near the foot’s bottom. Nerves travel between metatarsal heads, passing under ligaments. These nerves sense medial and lateral toes.
Interdigital neuroma is a ball-of-foot nerve damage. Pain between the metatarsal heads is typical. Sometimes more than one nerve is damaged. If more than one neuroma is diagnosed, examine additional diagnoses. The most typical position for an interdigital neuroma is between the third and fourth toes. Squeezing the metatarsal heads enhances interdigital neu- roma discomfort and generates popping.
The numb or burning sensation generally extends to the web between the toes. Running aggravates the ache. Common walking clicking.
Neuromas are nerve tumours. This isn’t true with Morton’s neuroma. Nerve tumours are uncommon. Morton’s neuroma nerves are normally normal, but sometimes swollen and damaged.

Metatarsalgia generates symptoms comparable to Morton’s neuroma. These issues are closely related. A metatarsal stress fracture is another possibility.
Normal X-rays are often needed to rule out other issues. Radiographs don’t show nervousness. MRI and ultrasound can show nerves, but it’s unclear if abnormalities like increased size or local swelling confirm or exclude Morton’s neuroma.
Interdigital neuroma therapy involves injections. Steroid injections can cause transient, dramatic improvement. Long-term, the improvement may be disappointing. Initial improvement is 20-70%. Pain, bruising, and foot fat loss are frequent complications.
Around interdigital nerves, ethanol or phenol sclerosing injections are sometimes used. This treatment is effective. Because of their caustic and unpleasant qualities, the orthopaedic community has been cautious to accept them. Usually 3 to 5 shots are prescribed. Nerve discomfort, soft tissue injury, and local pain have been described.
Morton’s neuroma surgery is simple. The interdigital nerve is usually found through an incision on the top or bottom of the foot and cut in the non-weight-bearing arch tissue. 10-20% of the time, surgery fails to relieve pain. This may be because diagnosis is often uncertain. Some patients acquire painful nerve-cut areas that are hard to treat.

Morton’s Neuroma Insoles

Footlogics is the name to remember when searching for a premium range of professionally designed and manufactured Morton’s Neuroma insoles.

We offer a range of products to ensure that customers can select the insoles that will provide the best and most noticeable relief from the pain and discomfort they experience. Our insoles will allow users to break free from the limitations of foot pain, and get back to do what they love. Contact Footlogics today to learn more.

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