Knee / Ankle / Foot

Morton Neuralgia

What is Morton neuralgia?

Morton neuralgia is a painful disorder of the nerve between the toes due to damage and/or loss of function in this nerve.

Cause

Morton neuralgia is caused by pressure on the nerve between the 3rd and 4th toes. It occurs mainly in middle-aged women and can be caused by excessive load on the front of the foot as happens when wearing high heels. Fallen arches of the forefoot and accidents can also play a role. The prolonged irritation of the nerve results in tiny lesions that eventually lead to swelling of the nerve (neuroma).

Signs and symptoms

Morton neuralgia involves pain at the level of the third toe and forefoot which is brought on by loading the forefoot and/or by walking.

How is Morton neuralgia diagnosed?

The diagnosis can be made based on the symptoms and by exclusion of other causes. A neurological examination must always take place.

Do I need additional examinations?

  • Diagnostic examination for other non-physical factors important for your pain, have already been done by yourself trough filling out your pain questionnaires.
  • EMG.
  • diagnostic test block of this nerve can confirm the diagnosis.

What are my treatment possibilities?

Multidisciplinary Treatment

Depending on the cause of your pain, your pain specialist will decide whether or not to embark on physical treatment. Based on the results of the completed pain questionnaire, additional examinations can be carried out and, apart from physical treatment, other methods of treatment will be suggested.

Non-physical Treatments

If the results of your pain questionnaire are abnormal, your pain specialist will offer you one of the non-physical treatments listed below:

Physical Treatments

Medication

Interventional Pain Treatments