Have you ever felt like you’re walking on a marble, even when barefoot?
If you’re nodding right now, I get it—you might be dealing with Morton’s neuroma. It feels uncomfortable, strange, and sometimes downright painful. But here’s the big question: Can it disappear without doing anything, or do you actually need treatment?
First off, what’s Morton’s neuroma?
Morton’s neuroma isn’t actually a neuroma at all. It’s more of a pinched nerve, usually between your third and fourth toes. You end up with inflammation and thickening of the nerve tissue. The result? Pain, numbness, or that weird “marble in your shoe” sensation.
Can Morton’s neuroma resolve naturally?
I’ve seen many cases in our clinic, and here’s what I’ve noticed: sometimes, Morton’s neuroma can disappear without aggressive treatment. I’ve had patients who significantly improved by simply changing footwear or doing foot-strengthening exercises at home. For instance, switching to shoes with wider toe boxes can relieve pressure and help your foot heal naturally. Some even swear by minimalist shoes or toe spacers—simple changes, big relief.
I remember a patient who battled Morton’s neuroma for years. She didn’t want surgery, so we worked together on simple interventions like toe yoga, wearing shoes with wider toe boxes, and using custom orthotics. It took some patience, but she eventually returned to pain-free walking and even running. No needles, no scalpel.
When natural methods just aren’t enough
But let’s get real—this doesn’t happen for everyone. Morton’s neuroma can stubbornly linger. While changing your shoes might help, sometimes you need more targeted treatment.
This is where options like radial shockwave therapy or custom-made orthotics step in. These aren’t just fancy-sounding treatments—they genuinely help reduce inflammation and address underlying issues. Shockwave therapy, in particular, can stimulate healing without invasive surgery.
What about injections?
I know injections might sound intimidating. But they often help. A corticosteroid injection can offer relief for months, sometimes longer. I’ve noticed alcohol injections can also help by shrinking the problematic nerve tissue. This doesn’t permanently solve the issue, but it can give your feet a welcome break from constant pain. Here’s a great overview from Mayo Clinic if you want more details.
Is surgery the only long-term solution?
Nope, surgery isn’t always the answer. But let’s talk honestly—it is an option, especially if your pain keeps returning. Surgery generally involves either removing the affected nerve or releasing pressure around it. I’ve seen success stories—patients back on their feet within weeks—but there are risks like numbness or even a stump neuroma (which is as painful as it sounds!).
So yes, surgery works for many, but I always advise my patients to try less invasive treatments first. Exhaust those options. You’d be surprised how effective conservative methods can be.
Simple lifestyle changes can make a difference
One aspect people often overlook is weight management. Excess weight means added pressure on your feet. Even moderate weight loss can significantly reduce symptoms. And you don’t have to join a gym—just daily walks or regular gentle exercises at home can help massively. Pair this with proper footwear, and you’re heading in the right direction.
How our clinic helps tackle Morton’s neuroma
At my practice, we focus heavily on identifying why Morton’s neuroma developed. We’re not just about masking symptoms. With our gait analysis service, we pinpoint biomechanical factors that might have led to nerve entrapment in the first place.
If structural alignment issues come up, our foot mobilisation and manipulation service can improve joint flexibility and function. I’ve found that addressing these issues early can help prevent the neuroma from recurring or worsening.
Real-world insights from others who’ve experienced it
I’ve spoken to many people about Morton’s neuroma, and one thing always stands out: everyone’s journey is different. Some manage to heal entirely with non-invasive methods like toe exercises, minimalist footwear, or orthotics. Others, unfortunately, end up exploring surgical solutions after exhausting other options.
One patient told me how simply soaking her feet in warm Epsom salts every night and switching to wider shoes did wonders. Another found relief only after shockwave therapy sessions. There’s no single guaranteed fix, and that’s why personalised care matters so much.
Not sure where to start?
I completely understand that dealing with foot pain can feel overwhelming. But you don’t have to navigate this alone. At Up & Running Podiatry, we’re all about helping you find what genuinely works for you. Whether it’s adjusting your footwear, trying shockwave therapy, or even discussing surgical options, we’ll guide you through each step.
If you’re experiencing persistent foot discomfort, don’t wait. Reach out through our booking page or visit one of our clinics in Port Melbourne, Elsternwick, or Williamstown. Let’s get you back to feeling good, step by comfortable step.
Got questions or want more info on foot health? Check out our blog, or get in touch—we’re here to help.