Morton's neuroma, also known as Morton's syndrome, is a common cause of pain in the forefoot. The condition involves a nerve in the forefoot becoming pinched or irritated between the ball of the foot, which can cause both dull and intense pain. Proper shoe support can relieve pressure on the forefoot and reduce discomfort.
What is Morton's neuroma?
Morton's neuroma is a condition in which a nerve in the forefoot becomes irritated or pinched, most often between the third and fourth toe joints. When the space between the ball of the foot decreases, the nerve can become compressed, causing pain, numbness, or a burning sensation in the forefoot.
The condition often occurs when the front arch of the foot sinks and the load on the forefoot increases. The pain can be described as stabbing, burning, or like an electric shock and is often made worse by tight or high-heeled shoes.
Symptoms
- Localized pain in the forefoot, usually between the third and fourth toes
- “Stripping” or electrical pain with exertion
- Pain that can occur even at rest if the nerve becomes inflamed
- Recurring calluses under the forefoot are a sign of a sunken arch
The symptoms of Morton's neuroma often occur in situations where the forefoot is stressed or compressed.
When does Morton's neuroma hurt the most?
The pain of Morton's neuroma often occurs in situations where pressure on the forefoot increases.
When walking or standing
When the forefoot is loaded, the pressure between the joint heads increases where the nerve can become irritated.
When wearing tight shoes
Shoes that squeeze the forefoot can increase pressure on the nerve and worsen the pain.
When wearing heels
Heels shift body weight forward into the foot and increase the load on the forefoot.
During longer walks or activities
The pain may gradually increase after prolonged stress on the forefoot.
Common causes & risk factors
A sunken forefoot arch is one of the most common causes of Morton's neuroma because it reduces the space between the ball of the foot and increases pressure on the nerve.
Tight shoes can compress the forefoot and further increase the pressure. High heels shift the body weight forward into the foot and increase the load on the forefoot. High levels of exercise, prolonged walking on hard surfaces, and sports with a lot of forefoot stress can also contribute to the development of the condition.
When should you seek medical attention?
If you have persistent pain in the forefoot that does not improve despite wider shoes, weight-bearing, or insoles, you should contact your healthcare provider for an assessment. This is especially true if the pain affects walking, exercise, or everyday activities.
Recommended protection & support
In the case of Morton's neuroma, proper protection and relief can help reduce pain and increase comfort in everyday life and activity. A common aid is a pelotte, a special forefoot support that lifts the front arch of the foot.
The pad reduces pressure between the ball of the forefoot and relieves the nerve, which often provides quick relief. Pads can be attached directly to the shoe or included in a 3/4 sole that can be moved between different shoes.
See all braces and supports that can relieve Morton's neuroma
Related injuries
For more information about the foot and heel, you can read more in the Injury Guide Foot & Heel. You can also go to the Injury Guide main page to read about other injuries and symptoms.
