Neuroma

A neuroma is a thickening of nerve tissue, or more correctly a neurofibroma. The most common location in the foot occurs at the base of the third and fourth toes, where it is commonly called Morton’s neuroma. The incidence of neuroma in this particular location is 8 to 10 times greater in women than men, due to the influence of women’s footwear.

Pain is caused by compression of the nerve. Thickening of the nerve is often a result of irritation, trauma or compression. Changes occur within the nerve tissue itself, and these changes can lead to permanent nerve damage.



The most common symptom of a neuroma is localised pain in the interspace between the third and fourth toes, although it can occur in other toes too. It can be sharp, radiating, or lancinating, and there may be associated numbness or tingling. Often patients find it difficult to describe the type and location of the pain. Sometimes it feels like a crumpled up sock inside your shoe. Usually some relief is obtained by taking off the shoe and giving the area a rub. Surgical intervention involves decompressing or resecting the nerve, or both.