Ace Physiotherapy and Sports in Singapore
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+65 81535374 -
ACE PHYSIO SPORTS
East gate Building, 46 East Coast Road
#08-03 Singapore 428766 -
Opening Hours
Mon to Fri: 08:00am - 8:00pm -
Opening Hours
Sat: 08:00am - 4:00pm
Sunday (By prior appointment)
Morton's Neuroma
What is a Morton’s neuroma?
The metatarsal bones are the five long bones of the foot. A Morton’s neuroma occurs when a nerve becomes enlarged in the space between the third and fourth metatarsal bones. Physiotherapy can be an effective treatment for managing Morton’s neuroma.
How does a Morton’s neuroma happen?
The exact cause of a Morton’s neuroma is not fully understood, but it results from compression of the nerve that runs between the third and fourth metatarsal bones. The condition is more common in individuals with flat feet and in women. Flat feet can increase pressure on the nerve, leading to irritation. Morton’s neuroma is also thought to be more prevalent in women because of frequent use of tight-fitting footwear. High heels, which increase the load on the forefoot and are often narrow across the toes, can further contribute to the development of the condition.
What are the symptoms of a Morton’s neuroma?
Morton’s neuroma typically causes pain in the front of the foot, often located between the third and fourth toes. The pain can be a dull ache or a sharp, stabbing sensation that worsens during walking or when wearing shoes. Squeezing the forefoot or applying pressure can also increase discomfort. Other common symptoms may include:
- Tingling or numbness in the toes
- Burning sensation in the ball of the foot
- Feeling of a small lump or “pebble” under the foot
- Pain that improves when removing footwear or resting
What should I do if I have a Morton’s neuroma?
If you experience these symptoms, it is important to arrange a physiotherapy appointment as soon as possible.
What shouldn’t I do if I have a Morton’s neuroma?
You should avoid activities and footwear that worsen your pain.
Physiotherapy treatment for a Morton’s neuroma.
Your physiotherapist can provide advice on your condition and guidance on how to minimise your symptoms. Treatment will focus on reducing irritation of the nerve, using techniques such as offloading, taping, and padding to redistribute pressure across the metatarsals. Your physiotherapist will also assess your foot posture and, if necessary, recommend orthotic insoles to support your shoes. If foot posture is contributing to your symptoms, correcting it can further relieve pressure on the metatarsals. Other treatments may include:
- Stretching exercises for the calf muscles and plantar fascia
- Strengthening exercises for intrinsic foot muscles
- Soft tissue massage to reduce tension in the foot and forefoot
- Joint mobilisations to improve movement in the foot and toes
- Advice on footwear modifications to reduce pressure on the forefoot
- Activity modification guidance to avoid aggravating movements
- Ice therapy to manage pain and inflammation
Could there be any long-term effects from a Morton’s neuroma?
If appropriate treatment is accessed promptly, the symptoms of Morton’s neuroma can improve and may even resolve completely. However, if conservative management does not relieve the pain, surgical intervention may be required.
To arrange an appointment, please call +65 81535374 or visit acephysiosports.com.
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