Conditions

Intermetatarsal Neuroma

This is often referred to as “Morton’s neuroma”. It is a condition where one of the small nerves between the toes becomes irritated or thickened. This is a nerve that passes between the bones of your foot. It most commonly affects the nerve between the third and fourth toes, although it can also occur between the second and third toes. It is most common in people aged 40–60 and is more common in women than men.

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Tight or narrow footwear can increase pressure on the nerve and make symptoms worse. Repetitive high-impact activities, such as running or jumping, may also contribute.

The main symptoms of a intermetatarsal neuroma are:

• Shooting, burning or stabbing pain in the ball of the foot that may spread into the toes
• Feeling like a small stone is stuck under your foot
• Local tingling and numbness
• Pain exacerbated by increased activity such as walking or certain footwear (tight, pointy or high heeled shoes)

Diabetes 

If you have diabetes and develop foot pain, discuss this with your GP or diabetes team. People with diabetes are at increased risk of developing foot problems and may need assessment sooner. Your GP or diabetes team can ensure you are receiving the most appropriate treatment.

Lifestyle factors that influence health

Symptoms of a intermetatarsal neuroma are influenced by several factors, including footwear, repetitive loading of the foot, weight and overall health. Wearing supportive footwear with a wide toe box, remaining active within your limits, and addressing lifestyle factors can help reduce symptoms and improve function. More support with health and lifestyle factors can be found on our Your Musculoskeletal Health webpage.