Services & Treatments
Do you suffer from Morton’s Neuroma?
An intermetatarsal neuroma (commonly described as a Morton’s neuroma) is a type of nerve entrapment or irritation. A neuroma is a thickening of a nerve running that develops as a result of trauma or rubbing between two adjacent metatarsal heads. The nerves involved supply sensation to the ball of the foot and toes.
The condition can affect adults of any age. However, women are affected more than men. Middle aged women who wear high heel shoes are the most commonly affected subjects. A Mortons neuroma is often found in the third interspace of the foot between the 3rd and 4th toes or metatarsal heads.
A sports massage can often be quite vigorous and strenuous and can relieve and reduce the stress and tension that build up within the body’s soft tissues while exercising.
It uses techniques that are not only designed to increase endurance and performance, but to minimise the chances of injury and reduce the recovery time if you have an injury.
Causes and Contributing Factors
- Chronic trauma theory: increased pressure in the forefoot through high heel shoes, narrow toe-boxes or tight calf muscles
- Intermetatarsal bursitis theory: inflammation of the bursa between the metatarsal bones causes secondary thickening and increased pressure on the nerve
- Entrapment theory: the nerve is compressed between the plantar aspect of the foot and tight intrinsic ligament or muscular structures
- Mechanical hyper-pronation theory: excessive rolling in of the foot during walking causes hypermobility in the forefoot
- Foot posture and natural bony alignment: those with close proximity between the metatarsal bones are subject to greater pressure on the nerve. This condition may also be associated with the presence of bunions.
Pins and needles, numbness, burning sensations, or even sudden pain on the ball of the foot; with the neuroma pain frequently radiating into one or two toes are common findings. The feeling of walking on a pebble or small stone is also often described. Typically symptoms are worse with tight fitting footwear, when walking barefooted on hard surfaces, or after increased physical activity.
Your Podiatrist will be able to assess the symptoms and causes of your pain. If required you may be referred for medical imaging such as ultrasound to confirm your diagnosis.
Morton’s neuroma treatment includes:
- Change footwear
- Padding and strapping
- Functional foot orthotics with neuroma pads/domes
- Stretching exercises and manipulations
- Cortisone injection
- Surgicalexcision of the neural thickening
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