Quick Answer
Morton's neuroma is irritation and thickening around a digital nerve in the forefoot, most commonly between the third and fourth toes. It is not a true tumor. Narrow toe-box and high-heeled shoes can increase forefoot pressure and aggravate symptoms.
Symptoms
- Burning or shooting pain in the ball of the foot
- Numbness or tingling into the toes
- A sensation of a pebble or folded sock under the foot
- Symptoms aggravated by tight shoes or prolonged walking
Diagnosis
Diagnosis begins with history and examination. Compression between the metatarsals may reproduce symptoms. X-rays can help exclude stress fracture or arthritis. Ultrasound or MRI can help when the diagnosis is uncertain.
Treatment
Initial care includes a wider toe box, lower heels, metatarsal pads/orthoses and activity modification. Corticosteroid injection may help selected patients. If significant symptoms persist despite appropriate nonsurgical care, surgical decompression or excision of the involved nerve segment can be discussed.
After Surgery
If the nerve segment is removed, permanent numbness in the corresponding web space is expected. This trade-off should be discussed before surgery. Recovery depends on the surgical approach and wound healing.
Frequently Asked Questions
Is a Morton neuroma cancer?
No. It is thickened tissue around a nerve rather than a cancerous growth.
Can changing shoes really help?
Yes. Reducing compression across the forefoot can reduce irritation of the nerve.
Sources
Evidence sources checked: 7 August 2026.
This page is for general patient education and does not replace an individual medical examination or treatment plan.