Morton’s neuroma is a benign enlargement of the interdigital nerve that causes pain, burning, tingling, and numbness in the forefoot, most commonly between the third and fourth toes. The condition is associated with chronic nerve compression, leading to inflammation and thickening of the nerve tissue. Treatment is aimed at pain relief, reduction of inflammation, and restoration of normal foot function.
When is treatment for Morton’s neuroma required?
- Pain in the forefoot, especially between the toes, that worsens with walking or wearing tight shoes.
- A burning, tingling, or numb sensation in the affected area.
- Discomfort and gait limitation caused by pressure on the nerve.
- Lack of improvement with conservative measures such as footwear modification or physiotherapy.
Treatment methods for Morton’s neuroma
Conservative treatment
- Footwear modification. Wearing comfortable shoes with a wide toe box and low heel to reduce pressure on the forefoot and the affected nerve.
- Orthopedic insoles and metatarsal pads to redistribute load and decrease nerve compression.
- Anti-inflammatory medications to reduce pain and inflammation around the nerve.
- Physiotherapy to improve local circulation and reduce muscle tension in the foot.
- Corticosteroid injections to decrease inflammation and pain during symptom flare-ups.
Surgical treatment
- Excision of the neuroma. When conservative treatment fails, surgical removal of the affected nerve segment may be performed to eliminate the source of pain.
- Microsurgical excision, allowing maximal preservation of surrounding tissues and minimizing the risk of complications.
- Minimally invasive techniques (including laser-assisted procedures in selected cases) to reduce tissue trauma and shorten recovery time.
Advantages of surgical treatment for Morton’s neuroma
- Complete resolution of pain and restoration of foot function.
- Relatively fast recovery with a short rehabilitation period.
- Definitive elimination of the source of inflammation and discomfort.
- High effectiveness in cases resistant to conservative therapy.
Recovery after treatment of Morton’s neuroma
- Use of orthopedic footwear or insoles during the recovery period.
- Rehabilitation exercises to strengthen foot muscles and improve mobility.
- Anti-inflammatory medications as prescribed to control pain and prevent inflammation.
- Postoperative follow-up, including ultrasound or imaging studies if needed, to assess healing.
In Belarus, treatment of Morton’s neuroma is provided in modern orthopedic and trauma clinics equipped with high-quality diagnostic and surgical facilities. Specialists apply individualized treatment strategies and up-to-date techniques, allowing patients to recover quickly and minimize the risk of recurrence.
