Morton Neuroma is compression of the digital nerves of the toes. It is most common between the 3.-4. and 4.-5. toes. One of the most common cause of Morton Neuroma is wearing narrow box shoes with high heels. Compression of the nerve causes thickening of the nerve sheath with time. This causes chronic irritation of the nerve. The effected individual feels dull pain that worsens with shoe wear. The pain radiates through the bottom of the foot and giving a feeling of as if there is a pebble inside the shoe. The pain gets so worse that the individual takes off the shoe immediately. This alleviates the pain not completely removes it.

The diagnosis of Morton Neuroma is made by history and physical examination. If doubt is present, MRI may be done.

The first step in the treatment of Morton Neuroma is shoe modification. Anti-inflammatory medication is beneficial for both decreasing pain and local swelling. In resistant cases local steroid injection may relieve symptoms. If symptom continues, surgical removal of the enlarged and thickened nerve is the absolute solution.