Treatment for Morton's Neuroma

In most cases, initial treatment consists of padding and taping to disperse weight away from the neuroma. If the patient has flatfeet, an arch support is incorporated into footwear.

The patient is instructed to wear shoes with wide toe boxes and avoid shoes with high heels. An injection of local anesthetic to relieve pain and a corticosteroid to reduce inflammation may be administered. The patient is advised to return in a week or 2 to monitor progress. If the pain has been relieved, the neuroma is probably small and caused by the structure of the patient's foot and the type of shoes the patient wears. It can be relieved by a custom-fitted orthotic that helps maintain the foot in a better position.

Another type of therapy that may be used is alcohol sclerosing injections. In this treatment, the doctor injects a small amount of alcohol in the area of the neuroma area to help harden (sclerose) the nerve and relieve the pain. Injections are given every 7–10 days and, in many cases, 4–7 injections are needed for maximum relief. Please ask your physician for more information regarding this type of treatment.

Conservative treatment does not work for most patients and minor surgery usually is necessary. Two surgical procedures are available to treat Morton's neuroma.

Publication Review By: Hai-En Peng, D.P.M., Stanley J. Swierzewski, III, M.D.

Published: 31 Dec 1999

Last Modified: 11 Mar 2013