Neuromas are nerve impingements in the forefoot. Although it is located in any interspace, most commonly it is located in the 3rd interspace, and therefore called a Morton’s neuroma. The symptoms include burning pain, hot and cold sensations, and numbness. Patients will often complain it feels like they are walking on a rolled sock or a rock.
There are many treatment options for neuromas. An MRI may be ordered to verify the neuroma or ascertain the size, especially if it is more of a surgical case. Non-surgical options include wider shoe gear, custom orthotics with a metatarsal pad built in to offload the metatarsals, and cortisone injections. If conservative treatments fail, then surgical options include excision of the neuroma, which is often hypertrophied from a normal nerve.