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Morton’s Neuroma / Metatarsalgia

Overview

Morton’s neuroma is a painful condition that affects the ball of your foot. The most common area is between your third and fourth toes, although it can happen in the spaces between any of your toes. It is also known as metatarsalgia, which is an umbrella term for pain in the forefoot.

Morton’s neuroma involves the thickening or irritation of the tissue around one of the nerves leading to your toes. It can feel as if you are standing on a pebble in your shoe. Wearing tight shoes or walking barefoot on a hard surface can make it feel worse. You may also have stinging, numbing, and burning discomfort in the affected toes.

Morton’s neuroma is often treated with a change in your footwear to a wider, softer and lower-heeled shoe. Foot orthotics and the use of padding to deflect pressure away from the affected area may also be necessary. Additionally, the use of shockwave therapy to reduce pain sensitivity and stimulate healing has been shown to be effective.

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About Morton's Neuroma

Morton’s neuroma typically presents with the sensation of standing on a stone in your shoe, tingling or numbness in your toes, and a burning pain in the ball of your foot. Typically, there is no visible sign of this condition, such as a lump.

During the clinical examination, your podiatrist will press on your foot to feel for a mass or tenderness. There may also be a feeling of “clicking” between the bones of your foot.

Causes:

Morton’s neuroma occurs in response to irritation, pressure, or injury to the nerves that lead to your toes. This usually happens with the prolonged use of a narrow and tight shoe, coupled with excessive pressure on the forefoot.

Risk factors:

Factors that may contribute to contribute to Morton’s neuroma include:

  • High heels: Wearing high-heeled shoes or shoes that are tight, narrow, and ill-fitting can place extra pressure on your toes and ball of your foot causing nerve irritation.
  • Certain sports that require tight footwear: Sports such as cycling, rock climbing, snow skiing, that feature tight shoes can put excessive pressure on your forefoot and toes.
  • Foot shapes: Individuals who have bunions, hammertoes, excessively wide feet are at high risk of developing Morton’s neuroma due to shoe fit issues.

How We Help

To prevent and manage Morton’s neuroma, we can help with the following:

  • Customised foot orthotic insoles. By contouring your heel and arch of your foot, foot orthotics can deflect pressure away from the painful and irritated area. Additionally, metatarsal pads that are placed precisely can also further alleviate pressure. We can prescribe precision-made customised foot orthotics to meet these needs.
  • Choosing the right shoes. It is essential to use wider and more cushioned shoe to reduce compression and pressure at the forefoot. We can advise on suitable footwear, both in and outdoors, to suit your individual biomechanics, lifestyle and activity needs.
  • Calf stretches. Having more supple and flexible calves would reduce pressure on your forefoot while walking, hence alleviating pain. Try doing this 1-2 minutes, twice a day.
  • Shockwave therapy. Shockwave therapy are acoustic sound waves directed to the painful area where there is pain to stimulate healing. It has also been shown to reduce pain sensitivity and nerve inflammation.

In the rare cases that your symptoms do not respond to conservative care in the long term, further treatment with injection or surgery may be necessary.

Let us help you with your Morton’s neuroma and metatarsalgia!

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Walk-ins are welcome!

Podiatry Quest – Holland Grove

Appointment basis; please reach out!

Free on-site parking

Bus 92 from Bouna Vista MRT

Monday: 9am – 6pm
Tuesday: 2pm – 6pm
Wednesday: 9am – 6pm
Thursday: 9am – 6pm
Friday: Closed
Saturday: 1pm-5pm (alternate weeks)
Sunday: Closed

Podiatry Quest – Novena

Appointment basis; please reach out!

We are at Novena Square, just at the lift landing on level 3

Monday: closed
Tuesday: closed
Wednesday: closed
Thursday: closed
Friday: 9am – 6pm
Saturday: 9am – 1pm (alternate weeks)
Sunday: Closed

Podiatry Quest – Harbourfront

Appointment basis; please reach out!

Lift lobby B provides easiest access to us

Monday: Closed
Tuesday: 9am – 1pm
Wednesday: Closed
Thursday: Closed
Friday: Closed
Saturday: Closed
Sunday: Closed

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