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Morton’s Neuroma

Mortons-Neuroma

Morton’s neuroma is characterized by pain located in the third interspace. It is a common foot problem associated with pain, swelling and maybe inflammation of a nerve, usually at the ball-of-the-foot between the 3rd and 4th toes. Symptoms of this condition include sharp pain, burning, and even a lack of feeling in the affected area. Morton’s Neuroma may also cause numbness, tingling, or cramping in the forefoot.

The next most common locations are the second, fourth and first interspaces. A burning sensation is present in the interspace and typically radiates to the adjacent digits.

Morton’s Neuroma is a foot condition caused from an abnormal function of the foot that leads to bones squeezing a nerve usually between the 3rd and 4th metatarsal heads. Symptoms of Morton’s Neuroma often occur during or after you have been placing significant pressure on the forefoot area, while walking, standing, jumping, or sprinting. This condition can also be caused by footwear selection. Footwear with pointed toes and/or high heels can often lead to a neuroma. Constricting shoes can pinch the nerve between the toes, causing discomfort and extreme pain.

The first step to treating Morton’s Neuroma is to get the right kind of footwear with a wide forefoot that does not constrict the toes. Next, use custom made orthotic insoles to correct your foot posture and offload weight from the respective metatarsals. Podiapro uses a metatarsal dome insert in between the layers of the orthotic insoles to take the pressure off the nerve and bring pain relief to the patient.

Morton’s Toe

Morton’s Toe is a common forefoot disorder where the second toe is longer than the Big Toe (the Hallux).
Morton’s toe leads to excessive pressure on the second metatarsal head (behind the second toe at the ball-of-the-foot) resulting in pain similar to the discomfort associated with metatarsalgia.

The constant pressure placed on the longer second toe while walking or standing can lead to callus formation under the second metatarsal head due to this excessive pressure.

Proper treatment of Morton’s Toe starts with selecting proper footwear. Footwear with a high and wide toe box (toe area) is ideal for treating this condition. It may be necessary to buy footwear a half size to a size larger to accommodate the longer second toe.

Orthotics that feature arch support to keep the foot aligned, and a metatarsal pad to reduce stress on the ball-of-the-foot are often recommended when treating this condition. Proper footwear combined with a effective orthotic will provide relief from pain associated with Morton’s Toe. If the problem persists, consult a foot doctor.

In those with Morton’s toe, the big toe metatarsal (first metatarsal) is shorter then the second metatarsal. As a result, the second toe ends up being forward of the first, which makes it take the brunt of pressure during the “toe off” of each step.

This may cause a callus to develop at the second metatarsal head on the ball of the foot. It may also mean that the second toe gets pressure from the toebox of the shoe, leading to black toenail and bruising. Morton’s toe may lead to over pronation – excessive rotation of the foot inward.

For those with continued foot pain and problems, a custom orthotic insole can help realign and cushion the foot properly, so that the big toe takes its share of the force when stepping. Podiapro’s orthotic insoles restore normal foot posture when worn and redistribute weight pressure normally in all 3 stances of walking.