The exact cause of Morton neuroma is not known but it is suggested that chronic trauma from walking cause micro-traumas to the digital nerves, which become compressed between two bones in the feet (metatarsal heads)

This can be caused by:

• Narrow toe-box footwear

• Extension of the toes in high-heeled shoes

• Inflammation of the intermetatarsal bursa,

• Thickening of surrounding tissue structures ex metatarsal ligament

• Forefoot trauma

• High-impact sporting activities ex running jumping HIIT workouts

Common symptoms are :

• Pain on the bottom of the foot that is often described as

  • burning, stabbing, or tingling with electric sensations.

• Pain that is aggravated by walking and wearing tight-fitting, high-heeled shoes and relieved by resting and removing shoes.

•  Pain is often described as walking on a stone or marble.

• Numbness between the toes

• Pain can radiate to the hindfoot or leg, causing cramps.

Conservative Treatment

• Orthotics

• Change in shoe gear to wearing a wide, supportive shoe, with a low heel

• Padding with a metatarsal pad, or neuroma pad,

• Budin splint

• Medications

• Steroid injection

Surgical Treatment:

If non-operative management fails, then surgery is indicated to treat recalcitrant cases.

• Excision of Neuroma

• Decompression of nerve