Morton’s Neuroma Symptoms
Morton's Neuroma Symptoms
Burning pain in the ball of the foot. Numbness in the toes. A sensation like walking on a pebble. If these symptoms sound familiar, you may have Morton’s neuroma — a treatable nerve condition.
Common Symptoms
- Burning or sharp pain in the ball of the foot
- Numbness or tingling in the third and fourth toes
- Feeling of a pebble or bunched-up sock underfoot
- Pain that worsens with tight footwear or high heels
- Pain that improves with rest and removing shoes
- Clicking sensation between the toes (Mulder’s click)
- Pain that radiates into the toes
When Should You See a Specialist?
Most patients with Morton’s neuroma wait months — or even years — before seeking evaluation. Don’t wait until the pain becomes constant.
You should seek a specialist evaluation if:
- Pain has persisted for more than 4–6 weeks
- Over-the-counter insoles are not helping
- Pain is affecting your daily activities or exercise
- You’ve already had a cortisone injection without lasting relief
- A prior surgery did not resolve your symptoms
What Causes These Symptoms?
Morton’s neuroma is caused by thickening and fibrosis of the tissue surrounding the interdigital nerve — most commonly between the third and fourth toes. Compression of this nerve produces the characteristic burning, tingling, and numbness patients describe.
Contributing factors include:
- Tight or narrow-toed footwear that compresses the forefoot
- High heels, which shift body weight onto the ball of the foot
- High-impact activities such as running or court sports
- Foot deformities including bunions, hammertoes, or flat feet
- Repetitive trauma or prolonged standing
How Is It Diagnosed?
Diagnosis begins with a thorough clinical examination. Mulder’s click — a palpable and sometimes audible click produced by compressing the forefoot — is a classic diagnostic finding.
Ultrasound is the preferred imaging modality. It is dynamic, allows real-time assessment, and can confirm the diagnosis with high accuracy. MRI may be used in complex or atypical cases.
An accurate diagnosis is critical before any treatment decision — particularly before surgery. Dr. Bregman takes time to review imaging, clinical findings, and prior treatment history to ensure no contributing condition is missed.
Symptoms That Don’t Fit the Typical Picture?
Not all nerve pain in the foot is Morton’s neuroma. Tarsal tunnel syndrome, peripheral neuropathy, and other nerve entrapment conditions can present with similar symptoms. A specialist evaluation ensures the right diagnosis before any treatment begins.