Pain on the ball of the foot - Morton’s Neuroma

Morton’s neuroma (pain on the ball of the foot) is a condition that involves the thickening of the tissue that surrounds the digital nerve proceeding towards the toes. Patients presenting with Morton’s neuroma generally describe a sensation like walking on a marble with pain situated in the ball of the foot. The condition usually involves the third and fourth toes, frequently from trauma, excessive pressure or irritation, and most commonly affects women 8-10 times more than males.

Symptoms that may present:

-Burning pain in the ball of the foot which can radiate down to the toes

-Pain intensifies with activity and wearing tightly fitted shoes

-Night pain is uncommon

-Swelling in the region is also uncommon as it’s not a tumour

-Numbness can also present in the toes

Morton’s neuroma generally arises from certain risk factors including high heels, certain sports and foot deformities. High heels increase the pressure around the ball of the foot and toes which you want to reduce if you have the disorder. Continuous running or jogging can cause excessive trauma to the foot, while skiing or rock climbing shoes again place the foot under more pressure than needed causing more problems. Finally foot deformities including flat feet, high arches and foot bunions increase the risk of developing Morton’s neuroma.

Physical examination of foot pain:

Diagnosis of Morton’s neuroma consists of the above symptoms and is positive when there is pain in the ball of the foot when squeezing the toes together. Some common differential diagnoses that present similar to Morton’s Neuroma include, a fracture of the metatarsal head, Metatarsalgia and Metatarsophalangeal Synovitis.

Treatment of Morton’s Neuroma involves modification of footwear compressing the area and causing the symptoms, to a shoe with a wider appearance and a firm sole and metatarsal pad insert prescribed from a chiropractor. Arch supports are another innervation that chiropractors can prescribe to take the pressure off the nerves and they’re also able to treat the condition with mobilisations, manipulations, traction work to the toes and soft tissue therapy around the area. Finally, a relatively new treatment option for treating Morton’s Neuroma is cold laser therapy, also referred to as low-level laser therapy. The laser therapy targets the thickened tissue around the toes and helps to reduce the symptoms by taking pressure off the nerves that have been causing the irritation. The cold laser therapy technology allows tissues to repair faster and speed up the recovery process to get patients operating as they normally would

Morton’s Neuroma is a condition that can generally be treated by changing the footwear you’re wearing or fitting the ones you have, with appropriate soles and arch support. The practioners at Lakeside Laser have treated many cases of Morton’s Neuroma in the past and have used multiple strategies including cold laser therapy to reduce the pressure upon the nerves and inhibit the symptoms that are presenting.

Lakeside Laser treat many musculoskeletal and neurological disorders including Morton’s Neuroma and are located in Joondalup, north of Perth’s CBD. We have visitors from mainly northern suburbs including, Jindalee, Yokine, Kingsley, Beldon, Edgewater, Woodvale, Yanchep and Two Rocks and have HICAPS facilities on site. We’re Medibank and Bupa first health care providers, however except a range of health funds including, HBF, NIB, AHM, HIF, POLICE, health.com and many more. If you would like to discuss your condition or book in an appointment by talking to our very friendly receptionists, fell free to contact us on 93000095 or visit our website at www.lakesidelaser.com.au and book via our ‘book now’ tab.

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