What is the main treatment strategy for symptomatic Morton’s neuroma?

The main treatment strategy for symptomatic Morton’s neuroma involves the use of orthotic shoe inserts. These inserts can help to alleviate pressure on the affected area by redistributing weight and providing additional support to the foot. Morton’s neuroma typically occurs between the third and fourth toes, causing pain and discomfort that can be exacerbated by footwear that does not provide adequate support or space.

Orthotic shoe inserts are designed to enhance foot function, improve alignment, and reduce impact during walking. They can effectively relieve symptoms by minimizing friction and pressure on the neuroma, often leading to a significant reduction in pain and improved ambulation.

While other treatments such as immobilization and rest may initially provide some relief, they are generally not as effective in addressing the underlying issues associated with Morton’s neuroma. Surgical excision is typically considered only after conservative treatments have failed, as there are potential risks and complications associated with surgery. Intra-articular corticosteroids can provide temporary pain relief, but they may not address the root cause of the condition and are not a primary treatment strategy.