Morton’s Neuroma

What is it?
Morton’s Neuroma results from a pinched nerve between the 2-4 metatarsals and results burning pain that shoots into the second through fourth toes. Morton’s Neuroma often feels better while barefoot.

How did I get it?
It can result from flattening of the arches, poor shoe choices, or possibly trauma to your foot. Morton’s Neuroma is often confused with Metatarsalagia which is a sprained ligament as opposed to a swollen nerve.

How is it treated?
There are many ways that Morton’s Neuroma can be treated. Some are more risky and less effective than others. Common conservative treatments include custom orthotics, Neuroma pads placed accurately in your shoes, ultrasound therapy and manual manipulation of the feet can also be very effective.

Custom Orthotics: A properly made foot orthotic can go a long way in taking the stress off of your Morton’s Neuroma. The right custom-made, biomechanical orthotic can address the underlying cause of your foot pain. Abnormal joint position, overpronation or foot rigidity can be addressed and the biomechanics normalized. San Diego Running Institute orthotics is custom molded to your foot and are designed with your specific body weight and activity in mind. The restoration of correct mechanical function takes the abnormal stress off the metatarsals and allows it to heal.

Stretching: Often we are told by runners that they have been stretching in an attempt to help Morton’s Neuroma . The problem is they are not following a scientific, research based stretching program or using a Neuroma pad. Stretching can not help Morton’s Neuroma. For healing to occur the pressure must be taken off the nerve between the metatarsals. Using a ten step process a Morton’s pad can be effectively placed on your insole working as a support and relieving pressure on the nerve.

Rest: For many rest is not a realistic option, the race you are training for is looming Our body is a wonderful “machine”, if you rest it long enough it will heal itself. How long? This is uncertain. Some sufferers report that they rested weeks to years and even now can not walk without pain. Some undergo painfully expensive surgery and the pain still persists.

Drugs/Anti-inflammatories: Drugs such as Ibuprofen are anti-inflammatory agents not healing agents. They actually impair the healing process and many times allow the runner to injure themselves further. Studies have proven that these medications are harmful to your body, can cause ulcers and strain your liver.

Ice: Ice is often recommended and is another example of a non-healing modality. A runner often reports that they have been icing their foot after running. Consider this analogy. If you bang your head against a wall and did not plan on doing it again then it would make sense to place ice on your injured head. However, if your intent was to continually bang your head every day then icing would be of no use. Instead you might try to place padding between your head and the wall. With running it’s the same. If you ice your foot so that you can run on it again, thus re-opening the wound, ice makes no sense. Addressing the underlying biomechanical cause does.

How long will it take to heal?
This depends on how long you have been suffering from Morton’s Neuroma. By correcting the cause of the injury with San Diego Running Institute orthotics and following the treatment regimen provided by Dr. Runco you can often expect immediate relief usually in your first office visit. Ask your San Diego Running Institute expert about how to get your Morton’s Neuroma fixed today.

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