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Réhabital

Morton’s Neuroma Treatment

Burning between the third and fourth toes, the feeling of a pebble in your shoe, instant relief the moment the shoe comes off — that pattern strongly suggests Morton's neuroma.

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Understanding This Condition

Morton's neuroma is a fibrous thickening of the interdigital nerve, most often in the third intermetatarsal space. It is not a tumour but the nerve's reaction to repeated compression between the metatarsal heads and the transverse intermetatarsal ligament. Narrow or high-heeled shoes increase that compression, as do a widened forefoot, a collapsed transverse arch or running overload. The good news: most cases improve with footwear changes, manual foot work and intrinsic strengthening.

Common Symptoms

Burning or electric shock sensations between the toes.
Feeling of a sock fold or pebble under the forefoot.
Numbness in the adjacent toes.
Pain worse in narrow shoes and with prolonged walking.
Relief when removing the shoe and massaging the foot.
Pain reproduced by squeezing the forefoot sideways.

Common Causes

Narrow or heeled shoes

They compress the metatarsal heads and reduce the space available for the nerve.

Collapsed transverse arch

Loss of support increases direct pressure on the interdigital nerves.

Activity overload

Running, dance and repetitive impact sports raise forefoot stress.

Biomechanical variations

Bunions, clawed toes and excessive pronation change load distribution.

Our Treatment Approach

Assessment confirms the diagnosis with Mulder's squeeze test and examination of foot and ankle mechanics. Treatment starts with footwear: wide toe box, flexible sole, lower heel. We add a correctly placed metatarsal pad, which spreads the metatarsal heads and often relieves symptoms immediately. Osteopathy mobilises the metatarsals, cuboid and ankle to restore forefoot suppleness, while physiotherapy strengthens the intrinsic foot muscles and calves. Massage and soft tissue work reduce plantar tension. If conservative care fails, guided injection or surgery can be discussed with a specialist.

What to Expect at Your First Visit

A 60 minute initial session including footwear analysis — bring the shoes you wear most. Many patients feel relief as soon as the metatarsal pad is added, with progressive improvement over six to twelve weeks.

At-Home Self-Care Tips

  • Choose shoes with a wide forefoot and low heel.
  • Use a metatarsal pad placed behind the metatarsal heads.
  • Massage the sole with a ball after walking.
  • Strengthen intrinsic muscles (towel scrunches with the toes).
  • Temporarily reduce impact activities.

Prognosis & Recovery Timeline

Most neuromas improve substantially with conservative care, especially when footwear is changed early. Larger neuromas respond less well and may need intervention.

When to See Us at Réhabital

Come in as soon as pain limits walking. Progressive numbness of the whole foot or weakness warrants broader assessment.

Why Réhabital Clinic

We treat the whole foot — footwear, metatarsal mobility, intrinsic strength and ankle mechanics — rather than the painful spot alone.

Why Choose Réhabital?

Often quick relief of walking pain
Personalised footwear analysis
Manual forefoot mobilisation
Intrinsic foot strengthening
Lower recurrence risk
An option before injection

Frequently Asked Questions

Address

D4-5800 Cavendish Blvd
Côte Saint-Luc, QC H4W 2T5

Hours

Mon–Fri: 10AM–8PM
Sun: 10AM–4PM

Relieve Your Pain Today

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First visit: 10% off

Receive 10% off your first visit to Réhabital clinic in Côte Saint-Luc, on the Island of Montréal. Physiotherapy is excluded. This offer applies to your first clinic visit, not a first visit in each specialty.

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