Morton's Neuroma

  • Medical Author:
    William C. Shiel Jr., MD, FACP, FACR

    Dr. Shiel received a Bachelor of Science degree with honors from the University of Notre Dame. There he was involved in research in radiation biology and received the Huisking Scholarship. After graduating from St. Louis University School of Medicine, he completed his Internal Medicine residency and Rheumatology fellowship at the University of California, Irvine. He is board-certified in Internal Medicine and Rheumatology.

  • Medical Editor: John P. Cunha, DO, FACOEP
    John P. Cunha, DO, FACOEP

    John P. Cunha, DO, FACOEP

    John P. Cunha, DO, is a U.S. board-certified Emergency Medicine Physician. Dr. Cunha's educational background includes a BS in Biology from Rutgers, the State University of New Jersey, and a DO from the Kansas City University of Medicine and Biosciences in Kansas City, MO. He completed residency training in Emergency Medicine at Newark Beth Israel Medical Center in Newark, New Jersey.

View the Foot Problems Slideshow Pictures

Quick GuideBurning or Swollen Feet? What Foot Pain Says About Your Health

Burning or Swollen Feet? What Foot Pain Says About Your Health

How is a Morton's neuroma diagnosed?

The diagnosis of a Morton's neuroma can usually be made by the doctor when the history of pain suggests it and the examination elicits the symptoms. The foot is generally tender when the involved area is compressed and symptoms of pain and sometimes tingling can be elicited when the sides of the foot are squeezed. Magnetic resonance imaging (MRI) or ultrasound testing can be used to confirm the diagnosis if necessary.

How is a Morton's neuroma treated?

Symptoms of a Morton's neuroma can completely resolve with simple treatments, such as resting the foot, better-fitting shoes, anti-inflammation medications, and ice packs. More rapid relief of symptoms can follow a local cortisone injection. Symptoms can progressively worsen with time. For those with persistent symptoms, the swollen nerve tissue is removed with a surgical operation.

What is the prognosis (outlook) for a Morton's neuroma?

The outlook for a Morton's neuroma depends on the structure of the foot and whether or not simple treatments are effective. Conservative treatments include optimal footwear, cortisone injection, and resting the foot. When surgery is performed, the outlook depends on how much residual nerve damage exists.

Can a Morton's neuroma be prevented?

Wearing proper footwear that minimizes compression of the forefoot can help to prevent the development of and aggravation of a Morton's neuroma.

Medically reviewed by Joseph Carcione, DO; American Board of Psychiatry and Neurology

REFERENCES:

Koopman, William, et al., eds. Clinical Primer of Rheumatology. Philadelphia: Lippincott Williams & Wilkins, 2003.

Ruddy, Shaun, et al., eds. Kelley's Textbook of Rheumatology. Philadelphia: W.B. Saunders Co., 2000.

Medically Reviewed by a Doctor on 3/7/2016

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