Oliver Bee RMTRegistered Massage Therapist

Massage therapy · Kitchener–WaterlooMorton's Neuroma

Foot

What It Is

Line drawing of the sole of the foot showing the nerves running forward from the heel and branching between the long bones of the forefoot out to each toe.
The nerves to the toes split between the bones of the forefoot — Morton's neuroma is where one of them gets squeezed.

Morton’s neuroma is a painful condition affecting the ball of the foot, most commonly between the third and the fourth toes (NHS, 2025). It may feel as if you are standing on a pebble inside your shoe or as if you have a fold in your sock. Despite its name, Morton's neuroma is not a true tumour: it is a thickening of the tissue surrounding one of the small nerves that leads to the toes (American Academy of Orthopaedic Surgeons, n.d.). This might cause a shooting, stabbing or burning pain in the ball of the foot, and some people get tingling or numbness in the toes or foot (NHS, 2025).

Tight, pointy or high-heeled shoes have been linked to the development of Morton’s neuroma (NHS, 2025). It is around 8 times more common in women than men and typically affects people between the ages of 30 and 60 (American Academy of Orthopaedic Surgeons, n.d.). Many people find relief by switching to a lower-heeled shoe or one with a wider toe box. Injections or surgery are sometimes needed if other treatments do not help (NHS, 2025).

Morton’s Neuroma Anatomy

In each foot you have five metatarsal bones, which connect the toes to the middle of the foot. The spaces between the metatarsal bones are called web spaces (American Academy of Orthopaedic Surgeons, n.d.). Small nerves that give feeling to the toes run along the bottom of the foot and pass between the rounded ends (heads) of the metatarsals, underneath a ligament that joins these bones together (American Academy of Orthopaedic Surgeons, n.d.).

The exact cause of Morton’s neuroma is not known, but it is thought to be the result of these nerves being compressed or squeezed. Compression of the nerve in the web space may trigger swelling and cause thickened tissue to form in and around the nerve (American Academy of Orthopaedic Surgeons, n.d.). Pushing off from the front of the foot, for example when running, and wearing high heels or tight, narrow shoes that squeeze the toe bones together can aggravate the condition (American Academy of Orthopaedic Surgeons, n.d.).

Not a diagnosis — for more information, contact me or another trusted healthcare provider.

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