(Interdigital Neuroma; Intermetatarsal Neuroma)
|Nerves of the Foot|
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- Wearing shoes that are too tight
- Wearing shoes that place the foot in an awkward position, such as high heels
- A foot that is mechanically unstable
- Repetitive trauma to the foot such as from sports activities like tennis, basketball, and running
- Trauma to the foot caused by an injury such as a sprain or fracture
- Wearing narrow and/or high-heeled shoes
- Injuries to the foot
- Activities that cause repetitive trauma to the foot such as sports-related activities
- Burning, pain, tingling, and numbness often shooting into the toes
- Discomfort that is worse while walking
- Feeling of a lump between the toes
Symptoms are usually temporarily relieved when:
- Taking off shoes
- Flexing toes
- Rubbing feet
Physical exam of the foot, including:
- Checking for mechanical abnormalities in the foot
- Squeezing the side of the foot—doing so will usually cause pain when Morton's neuroma is present
Examination of your shoes to:
- Check for excess wear in parts of the shoe
- Check to see whether the shoes are too tight
- MRI scan
Rehabilitation Measures to Reduce Nerve Irritation
- Switching to low-heeled, wide-toed shoes with good arch support
- Wearing padding in the shoes and/or between the toes
- Wearing shoe inserts to correct a mechanical abnormality of the foot
- Having ultrasound, electrical stimulation, whirlpool, and massage done on the foot
Injection of Medication
- Avoid wearing tight and/or high-heeled shoes.
- Maintain or achieve ideal body weight.
- If you play sports, wear roomy, properly fitting athletic footwear.
American Podiatric Medical Association http://www.apma.org
National Institute of Arthritis and Musculoskeletal and Skin Diseases http://www.niams.nih.gov
Canadian Orthopaedic Association http://www.coa-aco.org
Canadian Orthopaedic Foundation http://www.canorth.org
Clinical Practice Guideline Forefoot Disorders Panel, Thomas JL, Blitch EL 4th, Chaney DM, et al. Diagnosis and treatment of forefoot disorders. Section 3. Morton's intermetatarsal neuroma. J Foot Ankle Surg. 2009;48(2):251-256.
Morton neuroma. EBSCO DynaMed website. Available at: http://www.ebscohost.com/dynamed. Updated April 24, 2013. Accessed July 23, 2013.
Morton's neuroma (intermetatatarsal neuroma). American College of Foot and Ankle Surgeons' Foot Health Facts website. Available at: http://www.foothealthfacts.org/footankleinfo/mortons-neuroma.htm?terms=morton%27s%20neuroma. Updated August 23, 2010. Accessed July 23, 2013.
Thomson CE, Gibson JN, Martin D. Interventions for the treatment of Morton's neuroma. Cochrane Database of Sys Rev. 2004;(3):CD003118.
- Reviewer: Michael Woods, MD
- Review Date: 05/2014 -
- Update Date: 00/52/2014 -