Foot discomfort can develop quietly and worsen over time, especially when daily movement places repeated pressure on sensitive areas.

One condition that often causes persistent pain in the front of the foot is Morton’s neuroma.

Understanding Morton’s Neuroma

Morton’s neuroma refers to a thickening of tissue that forms around a nerve located between the toes, most commonly between the third and fourth toes. This thickened area develops as a response to repeated pressure or irritation. Over time, the affected nerve becomes compressed, leading to discomfort that may interfere with walking or standing.

Despite the word “neuroma,” this condition is not a growth in the traditional sense. Instead, it is a protective response by the nerve tissue, which becomes enlarged due to constant stress. The result is sensitivity and pain that often feels sharp, burning, or tingling.

Common Sensations and Early Signs

Symptoms usually begin gradually. Many individuals describe a feeling similar to standing on a small object inside the shoe. Others notice a burning sensation in the ball of the foot that may spread toward the toes. Numbness or tingling can also occur, especially after extended periods of walking.

Pain often improves when shoes are removed and pressure is relieved. Tight footwear tends to worsen symptoms, while rest may bring temporary relief. Because early signs can be subtle, the condition is sometimes overlooked until discomfort becomes more persistent.

Why Morton’s Neuroma Develops

Repeated pressure is the most significant contributor to Morton’s neuroma. Footwear with a narrow toe area forces the toes together, increasing stress on the nerve. High-heeled shoes shift body weight forward, further intensifying pressure on the front of the foot.

Diagnosis and Clinical Evaluation

Diagnosis usually begins with a physical examination. A healthcare professional may gently press on the foot to identify areas of tenderness. In many cases, symptoms and examination findings are enough to confirm the condition. Imaging tests may be used when symptoms are unclear or when other conditions need to be ruled out. These tests help visualize soft tissue and confirm nerve thickening. Early diagnosis allows for simpler management strategies and may prevent progression.

Dr. Jonathan Cluett, an orthopedic surgeon known for patient education, has clearly explained the condition by stating: “Morton’s neuroma is a thickening of nerve tissue that occurs between the toes.” This widely cited description reflects current medical understanding and helps clarify that the condition involves nerve irritation rather than an abnormal growth.

Non-Surgical Management Options

Most cases improve with conservative care. Changing footwear is often the first and most effective step. Shoes with a wider toe area reduce pressure on the nerve and allow natural toe spacing. Cushioned insoles or pads may also help distribute weight more evenly across the foot.

Preventive Considerations

Preventing Morton’s neuroma focuses largely on reducing repetitive pressure. Supportive footwear, proper fit, and avoiding prolonged use of narrow or high-heeled shoes are key steps. Paying attention to early discomfort and addressing it promptly may prevent progression. Regular foot care and awareness of changes in sensation help identify issues before they become severe.

Morton’s neuroma is a condition involving nerve irritation and tissue thickening between the toes, most often caused by repeated pressure. Symptoms include burning, tingling, and the sensation of standing on something inside the shoe. Diagnosis is usually straightforward, and most cases respond well to non-surgical care such as footwear changes and activity adjustment. With early attention and appropriate management, comfort and mobility can often be restored effectively.