Morton’s Neuroma pain as reported by thousands of patients.
Few patients who want help for Morton’s Neuroma pain call after only a short bout with symptoms. Most seek my help after years of chronic disabling nerve pain. All have tried to get help from friends, family, nurses, physical therapists, physicians, and surgeons. Many report that they feel disbelieved, discredited, and mostly very desperate for help.
Currently, most patients are proactive and looking to avoid surgery. Many have experienced at least one surgical, or a variety of other less invasive procedures. About one half of the patients report Morton’s Neuroma pain in just one foot. The other half report pain that has progressed to both feet.
Most patients who seek my help, do so for Morton’s Neuroma, although most all of them have a history of other gait related conditions. Most have a history that includes plantar fasciitis and chronic knee pain. Unfortunately as Morton’s Neuroma pain progress over time, it becomes increasingly disabling, and the pain that occurs as you walk and stand eventually demands that you do more to help.
Patients try everything to stop Morton’s neuroma pain.
Sometimes the symptoms of Morton’s Neruoma are brought on by trauma. If they come on fast the patient is forced to learn their medical options. Over time as Morton’s Neuroma pain progresses, most of these patients eventually have to figure out how to help themselves and control the pain on their own.
In other patients, the symptoms advance slowly, with more of an annoying numb feeling that may persist for years. They spend years learning to make changes in their shoes and activity level just to slow the insidious advancement of this progressive condition. Most Morton’s Neuroma patients eventually figure out a variety of shoe and support modifications that help control the pain throughout the progressively different stages of this chronic condition.
Four steps patients take to stop Morton’s Neuroma pain.
1. Cushioned surface
In the early stage of Morton’s Neruoma, patients find that a softer walking surface helps to control the nerve pain. Patients often find that if they avoid hard surfaces they can mitigate the symptoms. Use of cushioned insoles and standing mats will often decrease symptoms in the beginning of this progressive condition. Unfortunately as this condition becomes more advanced, even the softest and most cushioned of walking surfaces will provide only minimal help with Morton’s Neruoma pain.
2. Decrease Compression
When the Morton’s Neuroma pain is in the earlier stages, patients will often tell me that if they could just avoid the compression of a shoe full time, they would have no problem whatsoever. They report that if they could go bare foot, or wear flip flops and open sandals full time, it would be sufficient to stop most all of the nerve pain. Most physicians and shoe salesmen know to recommend bigger wider shoes in an effort to decrease the compression. Patients often purchase shoes that are 2 full sizes bigger than the shoe size they wore when their foot quit growing. Unfortunately as this medical condition advances even full time use of completely non-compressive shoe gear fails to stop the pain aggravated by weight bearing activity.
3. Arch Support
As this condition progresses and pain is more frequent, it becomes apparent that arch support plays a critical role in the prevention of painful nerve symptoms. Patients make a change in shoe gear at some point during the progression of this disabling condition, to include those with a built in longitudinal support. Most patients try metatarsal arch supports and half of them find them helpful, the other half find them problematic. Over time most patients gravitate toward a variety of shoes and inserts that provide longitudinal and metatarsal arch supports. By the time they call me, most patients are wearing a variety of support sandals including, Birkenstocks, Orthoheels, Vionics, or both custom and over the counter orthotics used in a stable running shoe. Some patients are quick to tell me that although full time use of these non-compressive and supportive shoes did stop the pain for a while, they eventually “quit working” and the pain returned. Actually many patients tell me they continue to wear them full time as they are working just not well enough.
4. Decrease activity
Most patients acknowledge only one real way that is guaranteed to help control their Morton’s Neuroma pain. It, of course, involves the one activity that most exacerbates the pain, during both early and late stages of this condition. Most patients control or diminish the symptoms of this condition by avoiding more and more weight bearing activities. One of the first things to change for women is a decrease in heel height and compressive shoes. After that, one weight bearing activity after another is eliminated, in an effort to minimize Morton’s Neuroma pain.
For information about how Theta Orthotics can help you more effectively manage your Morton’s Neuroma pain, click here.
Brent A Jarrett DPM