Mortons Neuroma – A Challenge

May 9, 2023

I don't see many cases of "Mortons Neuroma at the Clinic in Stratford Upon Avon, but I see a couple a month.

mortons neuroma stratford upon avon

 Mortons Neuroma tends to be a bit of a up and down journey to treat. I have found if the patient just has medical treatment from me they have great success in doing what they normally do, but as soon as they push things problems occur. This is usually the start of a short rollercoaster while we extend capabilities and mobility while balancing the treatment for effectiveness. It is also unpredictable which make a treatment plan more Fluid!

What is Mortons Neuroma?

Simply put, Morton's neuroma is where there's a thickening of tissue around a nerve in your foot that's been irritated or damaged. Symptoms vary from tingling or numbness of the foot to shooting or stabbing pain. Commonly it feels like a lump stuck under your foot or present on the top of your foot between the toes. 

Activity increase tends to be the main cause of neuroma development. Footwear tends to be a issue along with other foot related issues like bunions, toe issues or direct injury. Repetitive stress on the foot particularly from running or longer walking distances tend to be the patients I see. Dog walking longer cross country distances wearing wellingtons are the current patients issues I am treating currently. Wellingtons are great for short distances or standing in very wet conditions but not for cross country walking on a regular basis. What's interesting with dog walking I have found is that people have regular routes, so at different points have different levels of pain. I always get people to change footwear, do a altered route or at least walk in the opposite direction.  

mortons neuroma stratford upon avon

What I have found is that changes in walking style help the Mortons Neuroma but pressurise the other toes and structure of the foot. This can cause temporary inflammation or pain in the foot as going through the treatment package. This is always frustrating for the patient as progress is been made in one area but at the cost of another. If this happens its only temporary but with pain it feels like forever. Diabetes can also be a factor to rule out with Mortons Neuroma as diabetes can affect the feet and ensuring you are not diabetic or pre diabetic is essential.

If Mortons Neuroma is not treated it increases the swelling of the nerves, which in turn damage the tissue further resulting in a increase of scar tissue which consequently reduces space and increases inflammation creating a negative cycle of pain and inflammation!

I have had significant experience of treating Mortons Neuroma over the last 9 years and reduced the inflammation and pain, resulting in the tissue healing around the nerve. In some cases surgery is the only option as the neuroma is too big as the space in your foot is small.

If you have Mortons Neuroma and would like to find out more please book a call using the calendar below


About the author

Stephen Grinnell MSc Health and Rehabilitation
Pain and Physical Rehabilitation Specialist: Plantar Fasciitis, Lower back and Knee
Stephen has had his own Pain and Rehabilitation Clinic for over 13 years where he has treated well over 2800 people with lots of different pain and injury issues. Stephen’s personal physical rehabilitation journey started with a serious injury while on active service with the Royal Marines 25 years ago. This injury resulted in a long journey of complementary rehabilitation and two replacement hips. Stephen has developed his own bespoke treatment protocols using a variety of medical devices to help pain and inflammation resulting in accelerated recovery. Expert areas of focus are Plantar Fasciitis Treatment, Back pain issues particularly Lower Back and Sciatica and hip and knee replacement rehabilitation. Stephen previously had a successful academic career lecturing at a variety of Colleges and Universities in the Sports Science, Rehabilitation and Training areas. Stephen has also worked in The Queen Elizabeth Hospital Physiotherapy department during the Covid 19 Pandemic helping the recovery of COVID patients. In 2022 Stephen has been extensively researching and trialling protocols to treat plantar fasciitis. His Expertise has resulted in the successful treatment of 303 people and counting with a current success rate of 93%

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