morton’s neuroma

Shooting Pain Between your Toes: What Does it Mean?

By Dr. Ken Lefkowitz

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If you have toe cramping, sharp, shooting, or burning pain in the ball of your foot, or tingling in the space between your third and fourth toes, you may have a condition known as Morton’s Neuroma. This is an injury in the nerve between the toes (usually the third and fourth ones), which causes pain and thickening. This condition can make walking and any activities that put pressure on the foot extremely difficult. It may even become a challenge to press on the gas pedal to drive a car.

Morton’s neuroma is more common in women than in men, but the exact cause is unknown. Many experts believe contributing factors include: abnormal positioning of the toes, flat feet, high foot arches, bunions, hammertoes, and tight shoes and high heels.

A podiatrist can diagnose Morton’s neuroma by x-raying the foot to rule out bone problems and then possibly ordering an MRI or high-resolution ultrasound. Once you are diagnosed with Morton’s neuroma, non-surgical treatment will be attempted first. These treatments may include: padding and taping the toe area, shoe inserts, anti-inflammatory medicines taken orally or injected into the foot, nerve blocking medicines injected into the toe area, or physical therapy. If none of these methods of treatment are successful, surgery may be necessary to remove the affected tissue. After surgery, numbness in the area will be permanent but shouldn’t be painful, and after a while it will become unnoticeable.

If you are experiencing any of the symptoms of Morton’s neuroma or are in need of any form of foot and ankle care, call Quality Foot Care at 215-230-9707 to make an appointment at our Doylestown office.

Weird Sensations in Your Feet? A Podiatrist Talks About Neuromas

The tight shoes that rock climbers wear can cause Morton’s neuromas.

Have you ever had the sensation that you were standing on a pebble in your shoe or a fold in your sock? If the answer is yes, you may be suffering from a Morton’s neuroma. This is a painful condition that occurs in the ball of the foot, commonly between the third and fourth toes. Morton’s neuromas develop when the tissue leading to one of the nerves in your toes thicken, causing a sharp, burning pain in the ball of your foot. Other symptoms include stinging, burning, tingling, or numbness in your toes and a burning pain in the ball of the foot that radiates out to the toes.

The development of Morton’s neuromas has been linked to wearing high heeled shoes. Any kind of pressure or irritation to the nerves leading to the toes can incite the occurrence of this condition. Certain high-impact sports (such as jogging or running) that subject the feet to repetitive trauma can also cause Morton’s neuromas. Even sports that require wearing tight shoes, such as skiing and rock climbing, have been reported as catalysts for this condition.

Once your podiatrist has diagnosed you with a Morton’s neuroma, there are a few treatment options to consider. Depending on the severity of your symptoms, you could receive treatment ranging anywhere from arch support and foot pads to sclerosing/cortisone injections and surgery. This is why it’s important to visit your podiatrist at the first sign that something is wrong. A trained professional will not only be able to provide in-office treatment, but also at-home remedies (for Morton’s neuromas, these include anti-inflammatory medicines or better footwear).

Dr. Lefkowitz of Quality Foot Care specializes in the treatment of Morton’s neuromas. If you would like to make an appointment at his Doylestown office, call 215-230-9707 and get on your way to healthy feet today.