Morton’s neuroma is inflammation, thickening, or enlargement of the nerve between the bones of the toes. It is sometimes referred to as an intermetatarsal neuroma due to its location in the ball of the foot between the metatarsal bones.
The condition occurs when the medial plantar nerve near the bones of those toes becomes compressed or irritated, possibly because the metatarsal bones press against the nerve in the narrow gap between the toes.
Dr. Ian S. Goldbaum, a podiatric physician and surgeon, is used to dealing with this problem as numerous patients visit his offices in Delray Beach and Boynton Beach seeking relief from pain caused by Morton’s neuroma.
“It’s one of the most common things we see in podiatry,” said Dr. Goldbaum.
Morton’s neuroma can cause a sharp, burning, or shooting pain that can get progressively worse over time. The pain becomes worse when a person walks or stands on the ball of the foot.
Other symptoms include:
– Tingling, burning, or numbness
– A feeling that something is inside the ball of the foot
– A feeling that there’s something in the shoe or a sock is bunched up
During his diagnosis, Dr. Goldbaum also notes that there is often an audible symptom to this condition.
“You can actually sometimes hear a clicking,” he said. “That’s called a ‘Morton’s click.’”
The exact cause of Morton’s neuroma is not known, but the choice of footwear is generally believed to be a factor. High heels and shoes with pointed toes place your feet in an unnatural position that can cause damage to the area. In fact, anything that causes compression or irritation of the nerves in your feet can lead to the development of a neuroma.
In developing a treatment plan, Dr. Goldbaum first determines how long you’ve had the neuroma and evaluates its stage of development as treatment will undoubtedly vary according to the severity of the problem.
If the problem is moderate, injections and padding can be expected.
“We do numerous injections to the area,” said Dr. Goldbaum. “We need to offload, usually between the metatarsals, with orthopedic pads and strapping. If patients do well with the injections and the therapy, then we put them into an orthotic which positions the weight off of the area.”
In some cases, however, surgery may be considered if patients do not respond adequately to non-surgical treatments.
“You can treat it and patients won’t have pain for many years,” said Dr. Goldbaum. “If it doesn’t go away, then sometimes the nerve needs to be surgically removed.”
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The content on this website is for informational purposes only. Do not rely or act upon information from www.DelrayBeachPodiatry.com without seeking professional medical advice. If you live in South Florida and would like a consultation with Dr. Ian Goldbaum, a podiatric physician and surgeon with over 30 years of experience, please see our contact information below:
16244 S. Military Trail #290, Delray Beach, FL 33484
2900 N. Military Trail #205, Boca Raton, FL 33431 (SOUTH BLDG)
8198 Jog Road #100, Boynton Beach, FL 33472