Written By Roger Morelli
Brisbane Myotherapist and Remedial Massage Therapist
A Morton’s Neuroma is a class of nerve irritation known as a perineural fibrosis (swollen, inflamed and damaged).
It is a painful condition affecting the ball of the foot. Morton’s Neuroma pain is most likely to flare – along with associated numbness and tingling from walking, bearing weight on your toes and high heel shoes.
A Morton’s Neuroma occurs when the sheath surrounding the nerve of the toes thickens from repetitive trauma such as over stretching/loading and compression.
In the majority of cases – the nerve irritation occurs between the 3rd and 4th toes. Women are particularly susceptible to the symptoms of Morton's Neuroma. If you are middle-aged you are more likely to experience Morton’s Neuroma pain.
Sharp, intermittent pain is the most obvious early symptom of Morton's Neuroma. It is often described as “a burning pain in the ball of the foot” or “walking on a rock”.
As the fibrosis worsens, numbness, tingling and other sensory disturbance in the toes will become more aggravated.
It is possible for people to have no symptoms of a Morton’s Neuroma – while imaging reveals the presence of a fibrosis.
Do not avoid getting treatment. Early Myotherapy treatments and podiatry can resolve Morton’s Neuroma symptoms easily.
Footwear modifications - consultation with a podiatrist is essential for long standing Morton’s Neuroma symptoms. Metatarsal domes are shock absorbing bubble wrap for the ball of the foot – and they are extremely effective at reducing irritation in between the toes.
Don’t wear shoes that are too tight or have a high heel. Morton’s neuroma is usually caused by tight shoes that compress the toes and or high heels – which force high levels of pressure onto the ball of the foot - creating ideal conditions to damage the nerves.
Mortons Neuroma treatment involves a number of easy solutions.
Manual Therapy techniques such as Remedial Massage and Myofascial Release can be extremely potent at reducing neural tension and the symptoms of Morton’s Neuroma pain - simply by reducing muscle tension.
Cold Laser Therapy can be used to alter inflammation and increase the healing responses of the nerves – resulting in a more rapid reduction of the symptoms Morton’s Neuroma.
Electro needling is profoundly effective at reducing numbness and improving blood flow to the nerves. Best responses are obtained by improving circulation in the nerves of the leg – such as the tibial nerve and the peroneal nerve. Studies indicate that participants may receive up to 3 months reduction in Morton’s Neuroma pain after an electro needling intervention – this is in accord with our observations.
It is possible to reduce long term symptoms of Morton’s Neuroma pain and numbness in a rapid fashion. Our Morton’s Neuroma treatments combines manual therapies, patient education, low level laser and electro needling.