Morton’s Neuroma

Pedorthic Treatment for Morton’s Neuroma

What is Morton’s Neuroma?

Morton’s Neuroma results from inflammation of nerves between the toes. Morton’s Neuroma presents as a painful sensation that is felt on the forefoot in the ball of the foot, usually between the third and fourth toes, and generally only on one foot. The effects of Morton’s Neuroma may vary with each patient, as it may be extremely painful for some, and merely annoying or uncomfortable for others. In other cases, it may present as a burning or numb sensation.

What Causes Morton’s Neuroma?

Many experts believe that Morton’s Neuroma is due to specific pressures on the interdigital nerves of the foot, such as those exerted by the wearing of high heeled or tight shoes. These pressures are generally located on the ball of the foot, usually between the third and fourth toes. In addition to high heels and tight shoes, several sports may put these types of stresses on your feet, including running, skiing and rock climbing.

The risks with running lie in the repetitive impacts of the foot against the ground in the same place over and over again. These issues may be exacerbated when the activity is performed without proper shoes and foot support. It may also be worsened by running on a treadmill, due to the lack of variety when compared to running outdoors. Rock climbing and skiing may put patients at a higher risk for Morton’s Neuroma due to the tightness of the shoes worn, which can increase the pressures on the feet.

In addition to the activities which may contribute to Morton’s Neuroma, there are a number of naturally-occurring issues which may also contribute to the development of this condition. Those who suffer from bunions, high arches, flat feet and hammertoes are at a substantially higher risk of developing Morton’s Neuroma.

How Can Pedorthist Leon Kozliner, at Ottawa Custom Orthotics, Help Treat Morton’s Neuroma?

Pedorthist, Leon Kozliner, will perform a biomechanical assessment, that will include evaluation of your feet, shoes and activities.

For patients with Morton’s Neuroma, selecting the best possible shoes may often be an effective way to provide relief for the symptoms of Morton’s Neuroma. These shoes should have an area for the toes (known as the toe box) that is high and wide, minimizing the pressure placed on the forefoot. Part of Leon’s pedorthic assessment is to help you identify which of the shoes you own are better or worse for your specific condition. Some will already be appropriate. Leon may be able to modify others to become more suitable for your needs. Leon can also advise you regarding shoes that would be suitable and where to purchase them.

In addition to selecting proper footwear, over the counter inserts and when appropriate, custom orthotics may be particularly beneficial, as they can support the feet, minimizing the pressure on the afflicted area and improving overall comfort. Custom orthotics for Morton’s Neuroma pain often include a metatarsal pad, which is extra support placed behind the ball of the foot, unloading the pressure that is causing Morton’s Neuroma pain.

Morton’s Neuroma is seen most often in a high arch (pes cavus) foot. Leon hand crafts every pair of orthotics on site and uses a special technique to balance a pes cavus foot that allows him to maximize comfort of your orthotics (see high arch/pes cavus for additional information). These orthotics distribute pressure on the ball of the pes cavus foot, increasing stability and reducing the pressures that aggravate Morton’s Neuroma pain.

For patients with a flat foot (pes planus) and Morton’s Neuroma, Leon aggressively supports the arch and controls heel valgus (outward rotation) while also incorporating cushioning in sensitive areas for comfort. This allows Leon to maximize support and comfort of your orthotics (see flat foot/pes planus for additional information). These orthotics decrease movement between the toes, reducing the compression forces on the nerve that causes Morton’s Neuroma pain.

Your custom orthotics in combination with proper footwear can significantly reduce your Morton’s Neuroma pain. Leon may also recommend other treatments and therapies based on your specific needs.

Contact Ottawa Custom Orthotics’ pedorthist, Leon Kozliner, for a biomechanical evaluation of your feet.

The above information is not intended to replace medical advice by your physician.