Morton’s neuroma is a painful condition that affects the ball of your foot, most commonly the area between the third and fourth toes. It occurs when the tissue around one of the nerves leading to your toes thickens, causing sharp, burning pain in the ball of the foot. This condition can make walking and other activities difficult, impacting your overall quality of life. Fortunately, there are several effective treatments available, including cortisone injections and the use of a metatarsal dome. Our lead podiatrist is endorsed for the prescription of scheduled medicines and can prescribe and administer cortisone injections.

Understanding Morton’s Neuroma

Before diving into treatment options, it’s essential to understand what Morton’s neuroma is and what causes it. Common symptoms include:

- Sharp, burning pain: Usually in the ball of the foot, which can extend to the toes.

- Numbness: Tingling or numbness in the toes.

- Feeling of a pebble: A sensation as if there is a small stone or pebble inside your shoe.

The exact cause of Morton’s neuroma isn’t always clear, but it’s often associated with:

- Footwear: High-heeled shoes or tight, narrow shoes can compress the toes and aggravate the condition.

- Activities: High-impact sports or activities that place pressure on the ball of the foot.

- Foot deformities: Conditions like bunions, hammertoes, flat feet, or high arches can contribute to the development of Morton’s neuroma.

Treatment Options for Morton’s Neuroma

Several treatment options can help alleviate the symptoms of Morton’s neuroma. These range from conservative approaches to more invasive procedures. Here, we’ll focus on cortisone injections and other non-surgical methods, including the use of a metatarsal dome.

Cortisone Injections

Cortisone injections are a commonly used treatment for Morton’s neuroma, especially when other conservative measures haven’t provided sufficient relief. Here’s how cortisone injections can help:

- Anti-inflammatory effects: Cortisone is a powerful anti-inflammatory medication that can reduce swelling and inflammation around the affected nerve. This can significantly alleviate pain and discomfort.

- Pain relief: By reducing inflammation, cortisone injections can also provide substantial pain relief, allowing you to resume normal activities more comfortably.

- Quick and effective: In many cases, cortisone injections can provide rapid relief, often within a few days of treatment.

While cortisone injections can be highly effective, they are not a permanent solution and may need to be repeated if symptoms return. It’s also important to consider potential side effects, such as thinning of the skin or weakening of nearby tendons with repeated use.

Metatarsal Dome

A metatarsal dome is a non-invasive device used to relieve pressure on the affected nerve in Morton’s neuroma. Here’s how it works:

- Redistributing pressure: The metatarsal dome is placed inside the shoe, just behind the ball of the foot. It helps to redistribute pressure away from the neuroma, reducing irritation and pain.

- Cushioning and support: The dome provides additional cushioning and support to the foot, which can help alleviate symptoms and improve comfort during walking or standing.

- Ease of use: Metatarsal domes are easy to use and can be incorporated into your existing footwear. They are a simple and effective way to manage the symptoms of Morton’s neuroma.

Other Conservative Treatments

In addition to cortisone injections and metatarsal domes, there are several other conservative treatments that can help manage Morton’s neuroma:

- Footwear modifications: Wearing shoes with a wide toe box and low heels can help reduce pressure on the affected area. Look for shoes with good arch support and cushioning.

- Orthotics: Custom orthotic inserts can provide additional support and help correct any underlying foot mechanics that may be contributing to the neuroma.

- Physical therapy: Stretching and strengthening exercises can help improve foot mechanics and reduce pressure on the neuroma. A physical therapist can guide you through appropriate exercises and techniques.

- Pain relievers: Over-the-counter pain medications, such as ibuprofen or acetaminophen, can help manage pain and inflammation.

- Icing: Applying ice to the affected area can help reduce swelling and provide temporary pain relief.

When to Consider Surgery

While conservative treatments are often effective, there are cases where surgery may be necessary. Surgery is typically considered when:

- Conservative treatments fail: If you’ve tried various non-surgical methods without sufficient relief.

- Severe pain: If your pain is severe and significantly impacts your quality of life.

- Persistent symptoms: If your symptoms persist despite conservative treatment.

Surgical options for Morton’s neuroma may include decompression surgery (relieving pressure on the nerve) or neurectomy (removal of the affected nerve). Your podiatrist will discuss the best surgical approach based on your specific condition and needs.

Conclusion

Morton’s neuroma can be a debilitating condition, but with the right treatment approach, you can find relief and improve your quality of life. Cortisone injections, metatarsal domes, and other conservative treatments offer effective ways to manage symptoms and reduce pain. At Bondi Podiatry, our experienced team is dedicated to providing comprehensive care for foot and ankle conditions, including Morton’s neuroma. If you’re experiencing foot pain or suspect you may have Morton’s neuroma, contact us today to schedule a consultation and explore the best treatment options for you. Let us help you get back on your feet and enjoy a pain-free life.