Neuroma (Morton’s Neuroma)
A painful nerve condition in the forefoot causing burning, tingling, or numbness between the toes.
What is a Neuroma?
A neuroma—most commonly Morton’s Neuroma—is a condition where a nerve in the forefoot becomes thickened, irritated, or compressed.
This usually occurs between the third and fourth toes, causing sharp pain, burning, or a pebble-in-the-shoe sensation.
It is not a tumor, but rather a benign thickening of nerve tissue caused by continuous pressure or irritation.
Symptoms
Sharp, burning pain in the forefoot
Tingling or numbness in the toes
Feeling like there’s a pebble or fold in the shoe
Pain that worsens with walking or tight footwear
Electric shock–like sensation between toes
Relief when removing shoes or massaging the foot
Causes
Ingrown toenails can develop due to:
Improper nail cutting (curved edges instead of straight)
Tight or narrow footwear
Foot deformities (flat feet or curved toenails)
Sweaty feet or poor foot hygiene
Toe injury or repeated trauma
Genetic tendency (naturally curved nails)
Thickened nails from fungal infections
Who is at Risk?
Teenagers & young adults
Athletes (especially runners and football players)
Individuals wearing tight shoes
People with diabetes or poor circulation
People with recurrent nail infections
Diagnose
Diagnosis is simple and based on:
Physical examination
Assessing nail curvature & skin irritation
Checking for infection or pus
Evaluating footwear and nail-cutting habits
Treatment Options
Non-Surgical Treatment
Useful for mild to moderate cases:
Warm water soaks to reduce swelling
Cotton or dental floss technique to lift the nail edge
Topical or oral antibiotics (if infection is present)
Avoiding tight footwear
Proper nail trimming guidance
Pain-relieving medication
Surgical Treatment (Highly Effective & Quick)
Used for recurrent or severe cases:
Partial Nail Removal (PNA):
Only the ingrown portion of the nail is removed.Partial Nail + Chemical Matrixectomy:
The root of that nail portion is treated so it doesn’t grow back.Total Nail Removal:
Rarely needed; used only in severe infections or deformities.
Surgical procedures are safe, minimally invasive, and provide permanent relief.
Recovery & Results
Most patients walk immediately after treatment
Swelling reduces within 2–3 days
Complete healing usually in 2–4 weeks
Avoid tight shoes during early healing
Recurrence is rare with proper procedure & nail care
You can expect:
Pain-free walking
Easier nail care
No more repeated infections
Frequently Asked Questions (FAQ)
Will an ingrown toenail go away on its own?
Mild cases may improve, but most require treatment to prevent infection.
Is the procedure painful?
No. Local anesthesia is used; the procedure is quick and comfortable.
Can it come back?
It can, but chemical matrixectomy significantly reduces recurrence.
Can diabetics get this treatment?
Yes, but early treatment is essential to avoid complications.