Pain in the midfoot: What is Morton’s neuroma?

Morton’s neuroma is a widespread condition that can manifest itself primarily through pain in the metatarsus. The cause of Morton’s neuroma, also known as Marton’s neuralgia, is a thickening of the nerve, which usually occurs between the third and fourth metatarsal bones. The symptoms can occur both at rest and when walking or running.

Morton Neurom Physiotherapy Practice Berlin Mitte Christian Marsch

Morton’s neuroma: What are the typical symptoms?

Pain in the metatarsal area can be attributed to a thickening of the nerve. This is mainly exacerbated by repeated friction or pressure on the nerve. The type of pain is varied and can manifest itself in the form of stinging, burning, tingling or sudden pulling. Some sufferers feel as if they are stepping on a small stone when walking. There may also be numbness in the toes or feet.

The pain is particularly severe when walking or wearing tight shoes. The symptoms usually subside at rest.

Treatment options: How is a Morton neuroma treated?

The treatment of Morton’s neuroma depends on the severity of the symptoms, whereby physiotherapy is recommended to address the causes. The focus should be on improving the biomechanics of the foot and reducing the pressure on the affected nerve.

Mortom Neuroma Metatarsus Physiotherapy Practice Berlin Mitte Christian Marsch

Stretching and strength exercises to combat pain

A targeted combination of stretching, strengthening and mobilization exercises optimizes foot function, which reduces the risk of recurring complaints. Regular stretching of the calf and foot muscles, especially the plantar fascia, can increase the flexibility of the foot and thus reduce the pressure on the nerve. In addition, strengthening the small foot muscles contributes to better pressure distribution and stabilizes the arch of the foot.

Gait training for Morton neuroma

Gait training, in which the gait pattern is analyzed and incorrect loading is corrected, helps to reduce pain and prevent further damage. In addition, physiotherapy promotes awareness of healthy posture so that further overloading and misalignments can be counteracted.

Manual therapy and massages for foot pain

Targeted massages and fascia work can release tension and promote blood circulation, which can help to relieve pain and support healing. Manual therapy can also release tension using special grip techniques and improve joint mobility.

Cold and heat treatments

Cold and heat treatments can also be considered, with cold reducing inflammation and pain, while heat promotes blood circulation and relieves tension.

Although Morton’s neuroma is a condition that can severely restrict freedom of movement, pain and other symptoms can be significantly reduced or even eliminated if action is taken quickly.

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