Tread Labs

Morton's Neuroma - Forefoot Pain

Morton's Neuroma - Forefoot Pain

What is Morton’s Neuroma?

Have you ever experienced numbness or tingling in your toes? Intermittent pain? A clicking feeling as you walk? The sensation that you are walking on a pebble stuck in your shoe? If so, you might be suffering from Morton’s neuroma – one of the most common problems seen by foot specialists today.

Morton’s neuroma – also called traumatic neuroma – is an inflamed and/or enlarged nerve in the metatarsals (toes). It most commonly occurs between the 3rd and 4th metatarsal heads. This is where the intermetatarsal nerve is the thickest. Neuromas can also occur between the 2nd and 3rd metatarsal heads.

Symptoms of neuromas include:

  • Pain between the toes while walking or running. Stopping the activity most often brings immediate relief.

  • Tingling, numbness, or pain in the ball of the foot.

  • Swelling in the toe area.

  • A clicking sensation between the toes as you walk (Mulder’s sign).

Causes of Morton’s Neuroma

Both biomechanical problems and shoe choice can contribute to the condition. With that in mind, there are four main causes.

  • Biomechanical irregularitiesHigh arches and flat feet can lead to neuromas. These foot types cause instability around the toes and increased pressure on the metatarsal nerves. Overpronation will cause the metatarsals to rotate excessively, pinching the nerve.

      • Trauma to the nerve – Blunt trauma to the toes can damage the nerve.

      • Improper footwear – Shoes that are too tight will squeeze the toes together. High heels over two inches will increase the pressure on the front of the foot.

      • Repeated stress on the feet – Jobs that keep you on your feet all day, in conjunction with biomechanical problems or improper footwear, can speed up the development of neuroma.

      Women make up the majority of people who suffer from neuromas. This is mainly due to their overuse of high heels and tight shoes. For women, it is important to choose proper footwear to prevent the condition. Pick shoes with:
      • Wide toe boxes

      • Heels less than two-inches high

      • Room for insoles

      • Thick soles that are shock-absorbent

      Women who wear high heels frequently and also engage in weightbearing exercises like running, aerobics, or tennis may develop Morton’s neuroma more quickly than others.

      Treatment of Morton’s Neuroma

      If you are suffering from the condition, your podiatrist will most likely tell you to start wearing insoles to return your foot to a normal position. This will address any biomechanical irregularities – particularly overponation.

      
For immediate relief try:

      • Icing the foot

      • Using over-the-counter shoe pads to relieve pressure

      If you have a serious case, your podiatrist might:

      • Inject the area with corticosteroid or prescribe anti-inflammatory medication

      • Surgically remove the neuroma

      Surgery is a last resort. This will be performed under a local anesthetic. You have to stay off the foot for four to six weeks after the procedure. Most people report complete recovery after the surgery without pain. Side effects include continued numbness in the area.

      Insoles are Often the Best Treatment for Morton’s Neuroma

      Insoles like the Tread Labs Stride have medical-grade arch supports and firm structure. Our insoles correct overpronation, one of the main biomechanical irregularities that contributes to nerve trauma. Our insoles also will lift and separate the metatarsals, alleviating pressure on the nerve.

      For most people, choosing more supportive, comfortable footwear in addition to adding a pair of Stride insoles will effectively prevent and treat Morton's neuromas.

      2 comments

      Jul 05, 2017 • Posted by Dan

      Hi Mary,
      Thanks for reaching out to us. We are currently just web based, but we do ship to Ireland and the UK.
      Shipping costs are $25 for 1-2 pairs and $40 for 3-5 pairs.
      It sounds like you’ve tried a lot of different options for your feet.
      Tread Labs insoles work to distribute weight evenly through out the foot, which helps eliminate the discomfort associated with nerve pain.
      If you have more questions please give us a shout.
      Thanks,
      Dan

      Jul 02, 2017 • Posted by MARY DUFFIN

      Hi. I live in Northern Ireland (UK) and am wondering if it is possible to get these insoles in the U.K. or Ireland. I’m a runner, have Mulder’s Click in one foot, and want to find something to relieve the pain when running. I have paid a fortune to Podiatrist’s and my problem is still not solved. Loose trainers, custom insoles, NIE I’m on a diet of stretching. Thank you. Mary

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