Ongoing Forefoot Nerve Pain? A Surgical Consultation May Help

Burning pain, tingling, or the feeling of walking on a pebble in the ball of your foot? Morton’s neuroma surgery may help relieve persistent nerve pain when conservative treatment is no longer enough.

Morton’s Neuroma Surgery Toronto

Morton’s neuroma is a painful nerve condition that most often affects the area between the toes, commonly between the third and fourth toes. It can cause burning pain, tingling, numbness, and the sensation that there is something stuck under the ball of the foot. For some patients, symptoms become severe enough to affect walking, exercise, work, and shoe choice.

At Step Right Foot Clinic, we offer surgical consultations for Morton’s neuroma when symptoms persist despite conservative treatment. In some cases, surgery to remove the affected nerve segment, called a neurectomy, may be recommended to reduce pain and improve day-to-day comfort.

No referral is needed to book an assessment at our Toronto foot clinic locations.

What Is Morton’s Neuroma?

Morton’s neuroma is a thickening or enlargement of tissue around one of the nerves in the forefoot, usually between the metatarsal heads. Although it is commonly called a “neuroma,” it is often better understood as a painful irritation or enlargement of the nerve caused by ongoing compression and irritation.

In simple terms, Morton’s neuroma is a pinched and irritated nerve in the ball of the foot. This can lead to burning pain, numbness, tingling, or the feeling of stepping on a small stone or fold in your sock.

The condition most often affects the space between the third and fourth toes but can occur at locations between the other toes as well.

Symptoms of Morton’s Neuroma

Morton’s neuroma can cause:

  • Burning pain in the ball of the foot
  • Tingling or numbness in the toes
  • Sharp or shooting pain into the forefoot
  • The feeling of walking on a pebble or bunched-up sock
  • Pain that worsens in tighter shoes
  • Increased discomfort with prolonged standing or walking
  • Forefoot pain that improves when shoes are removed or the foot is massaged
  • Ongoing symptoms that have not improved with padding, orthotics, or footwear changes

Symptoms can come and go at first, but may become more frequent or intense over time.

Conservative Care Before Surgery

Surgery is not always the first step. Many Morton’s neuromas can initially be managed with non-surgical treatment, including:

  • Footwear modifications
  • Wider toe box shoes
  • Padding and offloading
  • Custom orthotics
  • Activity modification
  • Reducing pressure on the forefoot

If these measures are no longer providing enough relief, surgery may be the next step.

When Is Morton’s Neuroma Surgery Considered?

Surgery may be considered when conservative care mentioned above has failed. It is important to note that not all forefoot pain is caused by a neuroma. Conditions such as capsulitis, bursitis, joint pain, stress injuries, or other forefoot problems can sometimes mimic similar symptoms.

Before moving forward with surgery, we recommend that the presence, size, and location of the neuroma be confirmed with ultrasound or ideally MRI. This helps ensure the diagnosis is clear and supports more accurate surgical planning.

Morton’s Neuroma Surgery Options

Neurectomy Toronto

At Step Right Foot Clinic, your consultation begins with a detailed assessment of your symptoms, the location of the pain, your foot mechanics, and any imaging available. If surgery is appropriate, we will explain what the procedure involves and whether it is a good fit for your condition.

Neurectomy

A neurectomy is the surgical removal of the irritated nerve segment. This is the most commonly discussed surgical procedure for Morton’s neuroma when non-surgical treatment has not been successful.

Because the nerve is removed, some degree of numbness in the affected toes is expected after surgery. This is an important part of the discussion during surgical planning.

Frequently Asked Questions

Morton’s neuroma often feels like burning pain in the ball of the foot, tingling in the toes, or the sensation that you are walking on a pebble or a fold in your sock.

A neurectomy is a procedure in which the painful nerve segment is removed. It is commonly considered when Morton’s neuroma symptoms have not improved with conservative treatment.

Full recovery time can be around 8-12 weeks, depending on the procedure and the individual patient. The first 4-6 weeks will be in a surgical boot. We will explain expected healing time, activity restrictions, and footwear recommendations during your surgical consultation.

Podiatrist/Podiatric Surgeon Consultation

We assess Morton’s neuroma and other causes of ball-of-foot pain regularly and help determine whether symptoms are best managed conservatively or surgically by our podiatric surgeon.

Clear Guidance on Surgical Options

If surgery is appropriate, we will explain what neurectomy involves, what recovery may look like, and whether it fits your symptoms and goals.

Conservative and Surgical Care Under One Roof

We provide assessment, non-surgical treatment, and access to surgical consultation for patients with persistent forefoot pain.

No Referral Needed

You can book directly with us for an assessment at our Toronto foot clinic locations.

Ready to Take the Next Step?

If forefoot pain or pressure is affecting your daily activities, early assessment may help prevent the condition from worsening. Addressing metatarsal issues at the source may improve comfort, restore function, and make it easier to stay active.

At Step Right Foot Clinic, we take the time to understand your symptoms and guide you through all appropriate treatment options from conservative care to surgical solutions when needed.

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