What Is Morton's Neuroma?

Morton's neuroma is a thickening of the plantar digital nerve as it passes between the metatarsal heads -- most commonly between the 3rd and 4th metatarsals. Despite the name, it is not a true neuroma (tumour) but rather fibrosis (scar tissue) around the nerve from repetitive compression. It causes a characteristic burning, electric, or squeezing pain in the forefoot that radiates into the affected toes, often accompanied by tingling or numbness.

Symptoms

Burning, stabbing, or cramping pain in the forefoot, typically between the 3rd and 4th toes. Symptoms worsen with: wearing narrow, tight shoes (particularly high heels), walking on hard surfaces, prolonged standing. Symptoms improve with: removing shoes and massaging the foot, walking barefoot on soft surfaces. Mulder's click (a click felt during examination as the neuroma snaps between metatarsal heads) is a diagnostic sign.

Physiotherapy and Conservative Treatment

Footwear Modification

Widening the toe box is the most important intervention. Narrow shoes compress the metatarsals, increasing pressure on the neuroma. We recommend specific footwear and provide immediate footwear advice.

Metatarsal Padding

Metatarsal dome pads placed proximal to the metatarsal heads separate the metatarsals and reduce neuroma compression.

Neural Mobilisation

Plantar digital nerve mobilisation reduces neural sensitisation and improves nerve gliding.