Anyone with a Morton's Neuroma? Shoes?
I have a Morton's Neuroma in my left foot. It was diagnosed about 6 years ago. Treatment consisted of a series of 3 cortisone shots and new footwear -- all highly stabilizing, supportive footwear. My foot has not bothered me for a very long time. However, starting in January, it is hurting again.
I am wondering if anyone else has this condition and if you have had success with other footwear? There is a lot of talk of the minimalist footwear on this site and I am wondering if anyone has successfully reduced pain from a Morton's Neuroma with these types of shoes?
I just had to look it up - it's an inflamed nerve? The PB is anti-inflammatory, so I think that should help.
Stephanie, I had Morton's Neuroma as well which has been cured (touch wood) with cortisone shots and looser shoes.
The biggest contributing factor to my MN was extended periods of wearing boots and other constrictive, closed shoes in a cold climate (Scotland) when I have wide feet from growing up barefooted throughout childhood in a warm climate (Northern Australia).
The specialist warned me that it could come back and more injections could be necessary but after almost 10 years I'm still fine and I would say that your 6 years without re-occurence is pretty good as well. I don't have any particular footwear requirements these days but I do try to a. go barefooted or wear casual, loose shoes/sandals as much as possible and b. alternate flats with heels as wearing heels constantly can also make MN worse.
So going on my experience only, minimalist footwear would only help not hinder but that's just what seems to work for *me* I'm afraid. If your foot is hurting again maybe it's time for more shots? (ouchie ouchie ouchie I know - freaking hell they hurt !)
Yes, I've had one in my left foot for 20+ years, and it's acting up right now. My left foot is very swollen and painful because of it.
Basically, a Morton's Neuroma (at least mine) is a result of supination (walking on the outer edge) of the foot. If you look at the wear on the heels of your shoes, you can tell by the way your shoes wear. After the podiatrist cast my feet, he stood the casts up and let them go, and on their own they both fell over sideways away from each other. Walking this way over time, the bones in the foot never expanded enough during development, and a tumor has formed right on the nerve and gets pinched in between the bones. I always feel the need to stretch the foot across, but it never really works. But you always feel that need.
When the neuroma is aggravated, heels are more comfortable that walking barefoot or flat. When you walk in heels it forces your foot to pronate (walk on the inner edge of the foot). Cortisone shots really helped, but they get me so hyped up, I'm practically climbing the walls, even with a half dosage.
Over time, mine don't bother me as much (even though I don't wear orthotics). I had orthotics years ago, and they helped a lot, but unfortunately, I left them in a pair of rental ski boots back in the 90s and never replaced them.
However, this is the first flare up I've had in at least 10 years. I think a new pair of wedge sandals that don't support my feet enough brought it on.
It all depends on if your neuroma developed because of supination or pronation. If you supinate, flats or barefoot can make it worse. Heels tend to force the foot to pronate, so a small heal works best for supinators. If you pronate, you would probably do better with flats or barefoot. At least that's the way my Podiatrist explained it.
Originally Posted by Stephanie A.
Thanks for the replies. The podiatrist that diagnosed me said my arch collapsed causing my foot to flatten which resulted in pressure between the bones and nerve aggravation to the point of a neuroma forming. I am supposed to always have arch support and he said not to walk barefoot. But it is back anyway. I have the custom orthotics (that were very expensive) but they made it hurt more and they don't fit in very many shoes.
I have an appointment at U of M Sports Medicine next week for an evaluation... new insurance means a new doc and I guess this condition is treated by Sports Medicine at U of M.
Thanks for sharing your own experiences.
I've never been diagnosed, but my symptoms fit. I just wear shoes that give my toes room to expand and I'm generally not bothered by it, unless I do a lot of walking. I can't wear heels higher than about 3 inches or my feet really hurt. I also can't wear those inserts with the metatarsal dome or lift that are supposed to help with the neuroma - ouchy. As long as I wear flat with a wide toebox, I'm fine.
My mother was also bothered by it and bought really expensive (over $200) custom flexible metal shoe inserts called Feathersprings and those helped her a lot.
Last edited by Lynna; 04-13-2011 at 09:10 AM.
Altra Zero Drop Footware
My podiatrist suggested Altra Zero Drop running shoes: they have very wide toe boxes, and with a zero drop heel, they won't put extra pressure on your toes. You can find them on Amazon, Zappos, and a number of running stores. Hope the pain subsides quickly!
Originally Posted by Stephanie A.
I am in this party of foot pain sufferers. Went to the ER on Saturday with an unexpected and sudden resurgence of pain. It felt like I broke my foot. They took xrays and said it was plantar fascitis, immobilize the foot, and don't do anything. Literally. They want me to wear a cast like brace for a month. For something I do not have. At my wits end!
First of all, it is not heel pain and it is not plantar fascitis. It's all in the forefoot.
I've had this neuroma for 6 years -- the first podiatrist diagnosed and made orthotics. He also recommended specific shoes that are no longer in production. The company makes a shoe with the same style name, but they are extremely narrow and I can't wear them. Because pain in the non affected foot returned, I went back to the podiatrist who made new orthotics that kicked off the pain in my sesamoid bone area --- the first toe mound!
I'm a wreck. What I know about shoes: My Lowe hiking boots and my Sorrel Stiff Snow boots are the only shoes that seem to feel comfortable. Stiff sole, wide toe box, neutral gate. Whatever that means.
What I can also say is that any soft, flexible shoe will create pain. I'm not sure about the zero drop shoes, but I know Birkenstocks used to be a popular solution but they don't hold my heal in the proper alignment.
Check out SockDock.com and NW Foot and Ankle. They are two pro-paleo podiatrists, in favor of barefoot/ minimalist shoes. Sock Dock especially talks a lot foot problems as a symptom of a body out of balance or under stress. I would love to visit one of them personally (Sock Dock is in one of the Carolinas and NWFA is in Oregon), but SockDock's forums are pretty active, and he personally responds. I think he also does phone consultations.
I had a stress fracture in my third metatarsal (likely due to walking on the outsides of my feet due to bunions) and I found a lot of information on those two sites. At first my podiatrist thought that I perhaps had a neuroma as the fracture didn't show up on the X-ray right away. I received the standard mainstream podiatrist recommendation to wear sturdy, arch-supporting shoes forever and never go barefoot.
NW Foot and Ankle makes a product called Correct Toes, which places your toes where they are supposed to be and can be worn either inside of shoes or barefoot. I bought a pair, and they are comfortable, though I must admit I've been lazy about wearing them. I can certainly relate to only being able to wear stiff footwear with a wide toe box -- that was all I could wear while my foot was broken. I do fine with Birkenstocks, though. Have you tried different styles? I have a pair of Londons which are enclosed shoes (and therefore hold your heel in place). I wear them while working (I'm a bartender), and wore them working while my foot was broken.
Hope this helps. Foot pain sucks!!!
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