Morton's Neuroma

Morton’s neuroma, also known as an interdigital neuroma, is a condition where a nerve between the toes becomes irritated and thickened. It most commonly occurs between the third and fourth toes and is often linked to increased pressure in the forefoot.

Although referred to as a neuroma, it is not a tumour, but rather a response to repeated compression or irritation of the nerve.

Symptoms can vary but are often distinctive. Common signs include:

• Burning pain in the forefoot
• Sharp or shooting discomfort when walking
• Tingling or numbness in the toes
• A sensation of a lump or pebble under the foot
• Pain that worsens in tight or narrow footwear
• Relief when removing shoes or resting

Symptoms may come and go initially but can become more persistent over time.

Morton’s neuroma is typically caused by increased pressure on the nerve between the toes. Contributing factors may include:

• Tight or narrow footwear compressing the forefoot
• High-impact activities that increase forefoot load
• Poor foot mechanics affecting weight distribution
• Repetitive stress through the ball of the foot
• Structural foot changes that increase nerve irritation

In many cases, a combination of these factors leads to ongoing symptoms.

You should consider seeking professional advice if:

• You experience burning or tingling in the forefoot
• Pain is affecting your ability to walk comfortably
• Symptoms worsen in certain footwear
• Discomfort is becoming more frequent or persistent
• Self-care measures are not improving symptoms

Early diagnosis can help reduce nerve irritation and prevent symptoms from progressing.

At The Foot Lab in Glossop, we carry out a comprehensive clinical assessment to confirm whether your symptoms are consistent with Morton’s neuroma.

Your appointment may include:

• Examination of the forefoot and toe spaces
• Assessment of areas of tenderness and nerve irritation
• Evaluation of foot posture and alignment
• Observation of walking patterns through gait analysis
• Discussion of footwear and activity levels

A detailed biomechanical assessment, including both weight-bearing and non-weight-bearing analysis, may be recommended to understand how pressure is distributed across your foot.

All care follows NICE guidance, Royal College of Podiatry standards, and HCPC professional regulations.

Treatment focuses on reducing pressure on the affected nerve and improving overall foot function.

Your treatment plan may include:

• Advice on footwear to reduce compression of the forefoot
• Orthotic insoles prescribed following a biomechanical assessment
• Modifications to reduce pressure during walking
• Targeted exercises where appropriate
• Management of contributing forefoot conditions

Addressing how your foot loads during movement through gait analysis is often key to reducing symptoms and preventing recurrence.

At The Foot Lab, we provide a personalised approach to managing Morton’s neuroma, focusing on accurate diagnosis and effective treatment. Our podiatrists are degree-qualified, HCPC registered, and experienced in treating a wide range of forefoot conditions.

Patients choose our clinic because:

• We provide detailed and thorough assessments
• We explain your condition clearly and realistically
• We create tailored treatment plans based on your needs
• We follow recognised clinical guidelines and best practice
• We focus on long-term relief and prevention

Our aim is to help you return to comfortable, pain-free movement.