Morton's Neuroma Treatment Miami, FL
Morton's Neuroma
Morton's neuroma is a painful condition affecting the nerves between the toes, most commonly between the third and fourth toes. It occurs when chronic compression or irritation of the inter- digital nerve leads to thickening of the nerve tissue. Scar tissue can form around the nerve, causing swelling, inflammation, and significant discomfort in the ball of the foot.
Although Morton's neuroma is more common in women, it can affect anyone and may interfere with walking, running, or standing for long periods.
Causes and Risk Factors
The primary cause of Morton's neuroma is excess pressure on the inter-digital nerve, often due to:
- Narrow shoes or high heels that compress the toes
- Repetitive stress or overuse of the forefoot
- Foot deformities such as bunions or hammertoes
- Biomechanical factors, including flatfoot or abnormal gait
Genetics and foot structure can also predispose individuals to develop this condition.
Signs and Symptoms
Adults with Morton's neuroma may experience:
- Burning pain in the ball of the foot, often radiating into the toes
- Tingling or numbness in the affected toes
- Discomfort when walking or standing
- Worsening pain with narrow or high-heeled shoes
- Feeling of "walking on a pebble" in the shoe
Diagnosis
Dr. Alejandro Pino diagnoses Morton's neuroma through a detailed physical examination:
- Palpation of the space between the toes may reveal a tender, thickened area
- Mulder's click test can reproduce symptoms by compressing the forefoot
- Imaging such as X-rays may be ordered to rule out fractures, arthritis, or bone spurs
- Ultrasound or MRI can help confirm nerve enlargement or tissue inflammation
Accurate diagnosis ensures the best treatment plan and minimizes unnecessary interventions.
Treatment
Treatment for Morton's neuroma is patient-specific and depends on the severity of symptoms.
Conservative Management
Most mild to moderate cases respond well to non-surgical interventions:
- Activity modification: Reducing stress on the forefoot and avoiding aggravating activities
- Footwear adjustments: Wearing shoes with a wide toe box, low heels, and cushioned soles
- Orthotic devices or pads: To reduce pressure between the toes
- Ice therapy and rest: To alleviate pain and inflammation
- Anti-inflammatory medications: Oral or topical NSAIDs for swelling and discomfort
- Physical therapy: Stretching, strengthening, and forefoot mobilization to improve foot function
Surgical Treatment
Surgery is considered if symptoms persist despite conservative care, or if the neuroma is severe.
Surgical options include:
- Neurectomy: Removal of the affected nerve to relieve pressure and pain
- Decompression procedures: Release of surrounding tissue to free the nerve
Dr. Pino tailors the surgical approach based on the patient's anatomy, activity level, and long- term functional goals to achieve durable pain relief and restore foot comfort.
Why Choose Alejandro Pino, MD for Morton's Neuroma?
Dr. Alejandro Pino is a fellowship-trained orthopedic foot and ankle surgeon with extensive experience in diagnosing and treating Morton's neuroma. His approach focuses on precision, patient-specific care, and long-term outcomes.
Patients choose Dr. Pino because he:
- Combines advanced diagnostic imaging and clinical evaluation to identify the exact cause of pain
- Offers minimally invasive and conservative treatments to reduce recovery time
- Uses modern interventions such as ultrasound-guided alcohol ablation for non-surgical relief
- Provides customized surgical planning when surgery is necessary, prioritizing pain relief and preservation of foot function
- Communicates clearly about treatment options, recovery expectations, and long-term care
Dr. Pino's goal is to relieve pain, restore mobility, and improve quality of life for patients suffering from Morton's neuroma.
