About Morton's neuroma
Morton's neuroma is a thickening of the tissue around one of the small nerves that run between the long bones of the foot to the toes. The nerve becomes squeezed and irritated, usually in the space between the third and fourth toes, and less often between the second and third.
Despite its name, a neuroma is not a tumor. It is a benign thickening caused by repeated pressure. Tight or narrow shoes, high heels, and activities that load the ball of the foot tend to make it worse.
Many people improve with simple shoe and padding changes. For those who do not, targeted treatment under ultrasound can reduce pain and help avoid surgery.
Common symptoms
- Burning, sharp, or aching pain in the ball of the foot
- A feeling of standing on a pebble or a folded sock
- Tingling or numbness spreading into two adjacent toes
- Pain that worsens in tight shoes and eases when shoes are removed
- A click felt when squeezing the forefoot
Common causes and risk factors
- Narrow, pointed, or tight footwear
- High heels that shift weight onto the forefoot
- Running and sports with repeated forefoot loading
- Foot shapes such as bunions or flat feet that crowd the toes
How we diagnose it
Our physicians examine the forefoot and use diagnostic ultrasound at the exam table to see the thickened nerve directly and measure it. Ultrasound also helps separate a neuroma from other causes of forefoot pain, such as bursitis, joint irritation, or a stress fracture. A small diagnostic injection can confirm that the nerve is the source.
How Propel treats Morton's neuroma
We start with wider, roomier shoes, a metatarsal pad to spread the bones apart, and changes to activities that load the forefoot. These steps help many people without further treatment.
When pain persists, an ultrasound-guided injection places medicine precisely around the irritated nerve. For ongoing pain, Dr. Chen offers ultrasound-guided nerve ablation, which uses controlled energy to quiet the nerve's pain signals. When these options are not enough, we help coordinate a surgical referral.
What to expect at your visit
- 1.
We listen first
Your visit opens with a real conversation: how the problem started, what you have already tried, and the activity you want back.
- 2.
Exam and in-office ultrasound
A hands-on exam, then ultrasound at the exam table, often while you move, so your physician can see the tendon, joint, or nerve involved.
- 3.
A clear diagnosis and plan
You leave knowing what is wrong and what your options are, from strength-based rehab to procedures, and why we recommend each one.
- 4.
Treatment and follow-through
Most procedures happen here in the office. We coordinate with your physical therapist and check progress against the goals you set.
Questions about Morton's neuroma
- Is Morton's neuroma a tumor?
- No. Morton's neuroma is a benign thickening of tissue around a nerve caused by repeated pressure. It is not cancer and does not spread.
- What shoes are best for Morton's neuroma?
- Shoes with a wide toe box, low heel, and cushioned sole usually help. Adding a metatarsal pad just behind the ball of the foot can take pressure off the nerve.
- Does Morton's neuroma always need surgery?
- No. Many people improve with footwear changes, padding, and ultrasound-guided treatment. Surgery is considered when pain continues despite these options.