Morton’s Neuralgia

Morton’s Neuralgia is one of the most common causes of 3-4th toe pain in the ball of the foot(base of the toes). The pain is distinguished from other types of pain in this area because it causes shooting pain and numbness rather than the aching throbbing type of pain that results from the ball of the foot in muscle and bone pain. The pain also feet much better when you take off the shoe and massage the front of your foot in the area of tenderness; this area may feel as if though it contains a “pebble”.


Morton's Neuralgia


Morton’s Neuralgia

 Symptoms of Morton’s Neuralgia

  • Numbness.
  • Burning .
  • Tingling.
  • Sharp Pain.
  • Shooting Pain.
  • 80% of the time in the 3rd to 4th toes.
  • 20% of the time between the 2nd and 3rd toes.
  • Pain on weight bearing.
  • “Clicking of the toes” in that area.
  • Feeling of a “pebble” in that area.


Diagnosis of Morton’s Neuralgia

  • Mulder’s Click Test.
  • Rule out other obvious problems in the area like hammer toes or injuries.
  • Sullivan’s sign = Splaying of the toes in the site of the neuroma.
  • Xray and MRI to rule out other problems.


Differential Diagnosis of Morton’s Neuralgia

  • Capsulitis – More of a sore and aching feeling in the joint of the toes.
  • Metatarsalgia – Generalized pain in the ball of the foot.
  • Hammer Toes – A crooked toe that presses against the shoe can cause nerve irritation that radiates.
  • Swollen Painful Toe – The nerves in the toe can become irritated by this and radiate toward the foot.
  • Foot Corn – A corn or callus can cause pain that radiates back toward the foot.
  • Predislocation Syndrome – A loose and “clicking” second toe joint can mimic morton’s neuralgia.



Morton’s Neuralgia Treatment

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For more on Morton’s Neuraglia:’s_neuroma

About the author

The Modern Podiatrist (Foot and Ankle Specialist Doctor):Today's podiatrist is required to undergo rigorous medical training that licenses them as physicians with equivalent legal standing to the MD and DO degree (These are physician recognized licenses most common only in the USA). Although admittedly the training does differ between the three degrees. The differences are listed below.In Michigan Podiatrists are trained and authorized to perform surgery in the foot and ankle up to the tibial tubercle below the knee.All our podiatrists and foot doctors have undergone rigorous training including a 4 undergraduate college degree, writing the medical school entrance exam (MCAT), followed by a 4 year medical school degree (DPM - Doctor of Podiatric Medicine),Once podiatrists in the USA complete the rigorous 4 year medical school courses, they are required to complete a minimum of 3 years of a surgical and non-surgical residency program. Some podiatrists and foot doctors then choose to go on to further fellowship training specializing in various forms of specialty such as diabetic surgery or reconstructive foot and ankle surgery.The training is not over yet! Each podiatrist must be judged by a governing body where they submit their surgical cases and are reviewed regularly to ensure excellent results. This is a career long evaluation with board qualifications and certifications every few years.So have faith that today's podiatrist is your best choice for your foot and ankle problems! We are able to approach you foot and ankle problems from a non-surgery perspective, but that when necessary we can provide you with the treatment that you need!All articles written by this account are considered to be for educational purposes only. It is impossible for us to truly assess your condition and the advice we give here is meant to give you a basis to then follow up with your podiatrist and foot doctor later.If you have any questions at all, or there is anything that we can help you with, please feel free to contact our office or email us. Podiatrists provide medically necessary treatment which should be covered by valid insurance plans, we are not a cosmetic or elective medical specialty.