Morton’s Neuroma Treatment – Pain in the ball of the foot

A Morton’s Neuroma is a benign lump and thickening on a nerve in the ball of the foot. This is a common foot condition seen and treated at The London Foot & Ankle Surgery. The nerve becomes thickened due to chronic trauma as a result of repeated stress from adjacent bones and traction applied to the sensory nerves that supply the ball of the foot and the toes.

Morton’s Neuroma symptoms vary from person to person. Patients often feel a ‘sock rolled up’ or a ‘burning pebble’ type feeling under the ball of the feet. Sometime an electric shooting sensation, commonly to the 3rd and 4th toes, is experienced. This is usually relieved by removing the shoes.

Morton’s Neuroma Diagnosis:

Our foot and ankle specialists would clinically assess the foot by palpating the painful area and eliciting a clicking sensation (Mulder’s click) to assess the degree of symptoms. This will be followed by an ultrasound or an MRI scan to gauge the size and confirm the diagnosis. We have specialist radiologists on our team who can accurately detect and diagnose this condition.

We would aim to resolve the pain using a combination of treatments that have an evidence base and do not involve surgery in the first instance.

A combination of steroid injections and local anaesthetic can help reduce pain and shrink the nerve and are often recommended as first line. Specialised insoles that improve foot position and reduce pinching of the nerve by the bones can also help.

Should surgery be required, then a neurectomy procedure involves removing the damaged Morton’s Neuroma. This can be performed as a day case surgical procedure and carried out under local anesthetic or sedation.

Post operative recovery following excision of neuroma

5 days of rest with elevation

stitches out 10-14 days after surgery

return to wide shoes after suture removal

commence sports at 4 weeks