Morton's Neuroma

Morton's neuroma is a thickening of the tissue around a nerve in the foot, most often the nerve between the third and fourth toes. Despite its name, it is not a true tumor.

What people may notice

People may describe sharp, shooting or burning pain in the ball of the foot, or the feeling of a pebble or lump under the foot.

  • Numbness or tingling between the third and fourth toes
  • Cramping in the toes
  • Pain that is worse with tight or high-heeled shoes, or when walking or running
  • Symptoms that may get worse over time

What may contribute

The exact cause is not known. Things linked with it include:

  • Tight, pointed or high-heeled shoes
  • Heavy running or another activity that puts repeated pressure on the ball of the foot
  • Foot shape, such as flat feet or high arches
  • Other foot problems, such as bunions or hammer toes

What an evaluation may look at

  • Where the pain, numbness or tingling is felt, how it began and what makes it better or worse
  • Gentle pressure on the forefoot and between the toes, to see whether it brings on symptoms
  • How the foot is shaped and how you walk
  • Your footwear, and recent changes in work, sport or daily activity
  • Whether imaging or a medical assessment is needed, which a medical professional arranges

When to get medical care first

See the full safety checklist

Contact a medical professional if:

  • Pain is severe or stops you doing normal activities
  • Pain is getting worse or keeps coming back
  • Pain or tingling in the foot or toes is constant
  • You have tingling, weakness or numbness in the foot
  • The pain began after a recent foot injury or foot or ankle surgery
  • Self-care, such as wider, lower-heeled shoes, has not helped

Information on a website is not a diagnosis.

How Physical Therapy may fit

Physical Therapy is one of several nonsurgical options. A plan is based on the evaluation. Depending on the findings, it may include some, all or none of the following:

  • Education about footwear and activity factors that may be putting pressure on the forefoot
  • Guidance on padding, taping or shoe inserts, worked out with your medical professional when they are part of the plan
  • A gradual plan for returning to the activities that matter to you

Request an appointment

Send a request and we will contact you by the next business day. Submitting a request does not confirm an appointment; your appointment is confirmed only after the clinic responds.