Morton's Metatarsalgia

Burning or sharp pain in the forefoot, tingling, or numbness in the toes may indicate Morton's Metatarsalgia. It is also often referred to as Morton's syndrome or Morton's neuroma. This condition involves irritation and thickening of a nerve between the metatarsal bones. Shoes with ample space in the forefoot can help avoid additional pressure on the affected area.

What is Morton's Metatarsalgia?

Morton's Metatarsalgia is a painful irritation or thickening of a nerve that runs between the metatarsal bones to the toes. The area between the third and fourth toes is particularly often affected.

The common term Morton's Neuroma can be somewhat misleading: It is not a nerve tumor, but rather a change in the tissue resulting from prolonged irritation or compression of the nerve.

The term Metatarsalgia is also broader. It generally describes pain in the ball of the foot and can have various causes. Morton's syndrome is one possible cause of such forefoot pain.

What are the typical symptoms?

Typical symptoms of Morton's syndrome include burning, sharp, or electric-shock-like pain in the front of the foot. It can radiate into the adjacent toes. Additionally, tingling or numbness may occur.

The symptoms often appear when walking or with prolonged strain. Some affected individuals find tight shoes particularly uncomfortable and experience relief as soon as the foot is unburdened or the shoe is removed.

Since forefoot pain can have numerous causes, new, more severe, or prolonged symptoms should be medically evaluated.

What role does forefoot strain play?

Repeated pressure and mechanical irritation can play a role in Morton's syndrome. Tight or pointed shoes, as well as high heels, can increase pressure in the forefoot and worsen existing symptoms.

Changes in foot shape can also influence pressure distribution in the forefoot. A [splayfoot], for example, can be associated with altered stress conditions. [Toe deformities] can also change the space available in the shoe. However, these foot shapes are independent issues and not synonymous with Morton's Metatarsalgia.

What should you look for in shoes for Morton's syndrome?

For shoes for Morton's syndrome, ample space in the forefoot is particularly important. The toes should not be squeezed sideways, and the shoe should not constrict the ball of the foot. A low heel and a cushioning, comfortable sole construction can also help to avoid strong pressure peaks when walking.

Therefore, pay particular attention to:

• sufficient space for the forefoot and toes
• a shoe width that fits the individual foot shape
• a forefoot area that is not too narrow or pointed
• a low heel
• pleasant cushioning and a fit that is as pressure-free as possible

Those with pressure-sensitive feet can find further information on helpful shoe characteristics under [Shoes for sensitive feet].

Shoes cannot treat Morton's syndrome. However, a suitable shape and ample space can help avoid additional pressure on the sensitive forefoot area and support individual wearing comfort.