Morton's Neuroma

Neuroma Treatment in Fort Worth & Burleson, TX

Morton’s neuroma is a common cause of burning pain in the ball of the foot, typically between the third and fourth toes. It can feel like stepping on a pebble or having something stuck in your shoe.

Dr. Dalton Ryba, DPM is a dual board-certified podiatrist and foot & ankle surgeon providing comprehensive treatment for Morton’s neuroma in Fort Worth and Burleson, Texas. Most cases improve with conservative care, but surgical options are available when symptoms persist.

What is a Neuroma?

A Morton’s neuroma is a thickening of tissue around one of the nerves in the forefoot. This thickening can compress the nerve, leading to pain and irritation.

It most commonly occurs between the third and fourth toes and is often related to increased pressure or irritation in that area.

What Are The Common Symptoms?

Burning pain in the ball of the foot
Tingling or numbness in the toes
Feeling like stepping on a pebble
Pain that worsens with tight shoes
Relief when removing shoes
Symptoms may come and go but often worsen over time if untreated.

What Are The Causes And Risk Factors?

Morton’s neuroma is often caused by repetitive pressure on the forefoot.

Common contributing factors include:

Tight or narrow footwear
High heels
High-impact activities
Foot deformities such as bunions or hammertoes
Biomechanical imbalance

Reducing pressure on the nerve is key to treatment.

What Are The Treatment Options?

Most patients improve without surgery.

Wider, supportive footwear
Metatarsal pads
Custom orthotics
Activity modification
Corticosteroid injections

These treatments aim to reduce pressure on the affected nerve.

Surgery may be considered when symptoms persist despite conservative care.

The procedure typically involves removing the affected nerve segment.

Most patients experience significant relief following surgery, though some numbness in the toes is expected.

What Is The Recovery Timeline?

Recovery depends on the treatment approach.

Conservative treatment: improvement over several weeks
Surgical treatment:
- Walking in a surgical shoe initially
- Gradual return to activity

Most patients are able to return to normal activity after recovery.

When To See A Specialist?

Persistent burning pain in the forefoot
Numbness or tingling in the toes
Pain that worsens with activity or footwear
Symptoms not improving with shoe changes
Early treatment can prevent worsening nerve irritation.

Dr. Ryba sees patients in Fort Worth and Burleson, TX through
Lonestar Orthopaedic and Spine Specialists, PLLC.

When scheduling, please request an appointment specifically with Dr. Dalton Ryba, DPM.