What triggers Morton’s neuroma?
The pain of Morton neuroma is triggered by moderate physical activity (especially related to prolonged standing or running) especially after wearing shoes with narrow toe boxes. You can often alleviate the pain by taking off your shoes and manually massaging your forefoot, especially when Morton’s neuroma first appears. Surprisingly, in some cases of Morton neuroma, the pain starts abruptly in the middle of night and does not responds to conventional techniques.
Injury in the region of third and fourth metatarsal space increases the risk of developing Morton neuroma. This injury is often related to narrow shoes pressing on the your metatarsal heads right where the medial plantar nerve and lateral plantar nerve come together to form a large bundle of nerve fibers.
Janet D. Pearl, MD, MSc is the Medical Director of The Center for Morton’s Neuroma and Complete Spine and Pain Care, an interventional and integrated Pain Management program located in Framingham, Massachusetts. Previously, Dr. Pearl was the Co-Director of the Pain Management Center at St. Elizabeth’s Medical Center, where she was also the Director of the Fellowship program. She is the former Director of a satellite pain center of the Brigham and Women’s Hospital, Pain Management Center, located at the HealthSouth Braintree Rehabilitation Hospital. Dr. Pearl held academic appointments at Harvard Medical School and Tufts Medical School. She serves on the Health Care Services Board of the Commonwealth of Massachusetts Department of Industrial Accidents since 2000 as one of its physician representatives and is Chair of the Committee on Pain Management.