Morton's Neuroma — nerve irritation in the ball of the foot
A burning pain between the third and fourth toes, sometimes described as walking on a pebble, is the classic sign patients bring in.
What it is
Morton's neuroma is thickened, irritated tissue around a nerve that runs between the toes, most often the third and fourth. Repeated compression — often from narrow or high-heeled shoes — is the usual trigger.
It's more common in women than men, and symptoms tend to build with continued pressure on the forefoot.
Common symptoms
- Burning pain in the ball of the foot, sometimes radiating into the toes
- Numbness or tingling in the affected toes
- A sense of a pebble or fold in the sock while walking
How Dr. Feldman treats it
Roomier, low-heeled shoes and padding to spread pressure away from the nerve are often the first step, along with activity changes and, when needed, physical therapy.
For pain that continues, Dr. Feldman may recommend a guided injection. Surgery to relieve or remove the irritated nerve tissue is considered when conservative measures haven't helped.
Ready to get back on your feet?
Request an appointment online, or call the office — we see patients in Bethesda and Germantown.