Morton’s Neuroma Treatment

Non-surgical Morton’s Neuroma treatment:

We would aim to resolve the pain caused by Morton’s neuroma by using a combination of treatments that have an evidence based success and do not involve surgery in the first instance.

Morton’s neuroma can be treated with a combination of steroid injections and local anaesthetic; these can help reduce pain and shrink the nerve and are often recommended as first line.

Custom orthotics that improve the foot position and reduce the pinching of the nerve by the bones can also help.

Morton’s neuroma surgery

Should Morton’s neuroma surgery be required, then a neurectomy procedure involves removing the damaged Morton’s Neuroma as day case surgical procedure and can be done under local anaesthetic.

Morton’s neuroma surgery recovery

Recovery after Morton’s neuroma surgery is relatively quick; you will usually be walking from two – four weeks following surgery. If you have a desk based job you should be able to return to work at that stage.

Frequently asked questions

What is the best treatment for Morton's neuroma?

There isn’t one best treatment for Morton’s neuroma but most people experience improvement from using orthotics or a corticosteroid therapeutic injection.You should also wear shoes that do not compress the toes together. Surgery may be suggested to excise the neuroma should conservative treatment not provide relief.

If left untreated the neuroma symptoms will usually persist and gradually worsen over time. Early symptoms typically produce a burning pain between the smaller toes, when the nerve thickens the burning sensation will intensify. You can occasionally experience a clunking sensation and sudden sharp pain.

A Morton’s neuroma can be diagnosed clinically but imaging is very good to confirm the condition. Clinical examination can sometimes reproduce the symptoms and identify thickening or clunking in the area. MRI and ultrasound can identify the structure and measure its dimensions. This allows planning of treatment options.

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