Morton's neuroma is characterized by an intense and electric pain between the 3rd and 4th toe, sometimes between the 4th and 5th toe. The pain may radiate to the lateral aspect of one or more toes, or even to the dorsal aspect of the foot. Removing the shoe often provides immediate relief
This pain is the consequence of the compression of a nerve (digital plantar nerve) between two bones (metatarsals)

What causes Morton's neuroma?

- Women (over 40 years old) wearing tight shoes and/or high heels represent the majority of people affected.
- A flat triangular forefoot is often associated.
- A trauma or even a fracture in the foot.

What are the non-surgical treatments?

- Wearing wide shoes with a specific orthopedic sole may be enough to relieve the pain.
- As a second line of treatment, a corticosteroid infiltration near the neuroma is indicated. This powerful anti-inflammatory has the effect of reducing the inflammation surrounding the neuroma, which reduces the pressure exerted on it by the metatarsals and makes the pain disappear.
- In case of recurrence, a new infiltration is possible but never more than 3 infiltrations in the same place.

What is the surgical treatment?

It is necessary in cases that have not been cured by previous treatments.
It consists of removing the neuroma (neurectomy) under local anaesthesia during an outpatient stay (a few hours). The dorsal incision between the toes will leave an inconspicuous scar.
Walking is possible with wide shoes, without excess, from the day after the operation, but the dressing will interfere with footwear for 15 days to three weeks.
Post-operatively, a sheet anesthesia in the intermetatarsal space is usual, most often not perceived by the patient, who will be systematically informed pre-operatively.

en_USEnglish