What is Mortons Neuroma?
Mortons Neuroma is a condition of the foot characterised by sharp, burning or cramp-like pain that is usually located at the ball between the third and fourth toes. Although the pain is normally focal it can radiate to the top of the foot and also into the calf muscles. Pain however is not the only symptom, patients may also complain of pins and needles and also a loss of sensation in the toes.
The condition mainly affects those between the ages of forty to sixty, and is more common in women than in men.
Causes of Mortons Neuroma
It is caused by the sheath around a nerve thickening as a result of persistent compression of the nerve/nerve sheath. The pain may be triggered by prolonged standing, walking and running, but it can also occur at rest. Common causes of Mortons Neuroma are poorly fitted shoes, such as those which are thin soled, high heeled or too narrow. Flat feet are another causative factor.
Treatment for Mortons Neuroma
In many cases conservative treatments such as orthotics and advice on correct footwear is sufficient. Surgical removal of the neuroma is only reserved for those cases that have responded to conservative treatment.