Dr Kola Tytler MBBS CertHE MBA MRCGPClinical Lead • iatroX
Recommended treatment for Morton's neuroma:
- First-line management: Avoid wearing shoes with thin soles, high heels, or a constricting toe box to reduce nerve pressure. Using a metatarsal pad, available over-the-counter, may help to reduce pressure on the nerve. Nonsteroidal anti-inflammatory drugs (NSAIDs) can be considered if necessary to alleviate symptoms.
- If symptoms persist beyond 3 months despite footwear modifications, referral to an orthotist for a metatarsal dome orthotic is recommended.
- If orthotics are not available or unsuccessful, refer the patient to an orthopaedic surgeon with a special interest in the foot, a musculoskeletal clinic, or a podiatric surgeon (depending on local policy and services) to consider more specialist treatments such as corticosteroid injection or surgical options.
- Foot specialists such as podiatrists or foot and ankle surgeons may provide specially made soft pads or insoles to offload pressure. For severe symptoms unresponsive to conservative treatment, steroid or alcohol injections or surgical interventions may be offered.
These management steps aim to relieve nerve irritation, reduce forefoot pressure, and improve symptoms of Morton's neuroma. Early conservative measures focus on offloading and footwear adjustments, escalating to injections or surgery if necessary for refractory cases.