Morton’s Neuroma

Causes of Morton's Neuroma:

• The exact cause of Morton's neuroma is not always clear, but several factors may contribute to its development, including:

• Footwear: Tight, narrow, or high-heeled shoes can compress the toes and the ball of the foot, increasing pressure on the nerves. This compression can lead to the development of Morton's neuroma, especially when tight shoes are worn regularly.

• Foot Structure: Some individuals have anatomical factors that make them more prone to Morton's neuroma. For example, having high arches or flat feet can alter the distribution of pressure in the foot and contribute to nerve irritation.

• Overuse or Trauma: Repetitive activities or trauma to the feet, such as participating in high-impact sports or wearing shoes that provide inadequate support, may increase the risk of developing Morton's neuroma.

Treatment Options

The treatment for Morton's neuroma can vary depending on the severity of the condition. In some cases, conservative treatments may be sufficient, while more severe cases may require surgical intervention. Here are some treatment options:

• Footwear: Switching to shoes that have a wider toe box and provide proper arch support can alleviate pressure on the neuroma and relieve symptoms.

• Orthotics: Custom-made or over-the-counter orthotic devices can help redistribute pressure and provide cushioning to the affected area.

• Corticosteroid Injections: Steroid injections into the affected area can reduce inflammation and provide temporary relief from pain.

• Physical Therapy: Physical therapy may include exercises to improve foot and toe strength and flexibility.

• Medications: Over-the-counter pain medications, such as ibuprofen, can help manage pain and inflammation.

• Surgery: When conservative treatments are ineffective, surgical removal of the neuroma may be recommended. This procedure is called neurectomy and involves removing the affected nerve tissue. After surgery, you may need to wear a protective shoe or boot and follow a rehabilitation plan to aid in recovery.

Surgical Procedure:

During the surgical procedure for Morton's neuroma (neurectomy), the surgeon will typically make an incision on the top of the foot or on the bottom, depending on the approach chosen. The surgeon then identifies and removes the affected nerve tissue. After the procedure, you may have stitches and will need to wear a special shoe or boot for a period to protect the surgical site.

Recovery:

Recovery from Morton's neuroma surgery can vary from person to person. It may take several weeks to a few months for full recovery, and you'll likely need to follow post-operative instructions provided by your surgeon. This may include keeping weight off the foot, elevating it, and performing rehabilitation exercises.

 

It's important to consult with a healthcare professional, such as a podiatrist or orthopaedic surgeon, to discuss your specific condition and treatment options. They can provide you with personalised recommendations and address any concerns you may have about Morton's neuroma and its surgical treatment.