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WHAT IS MORTON’S NEUROMA?

Morton’s neuroma is an inflamed nerve in between two (metatarsal) bones in the ball of your foot. It is often caused by narrow shoes pushing the third and fourth metatarsals together and causing irritation of the nerve.  There can also be a tractioning of the nerve from nearby fibrotic tissue.  The result is pain and numbness of the involved toes.  It might even feel like you have a rock or lump in your shoe.

 

By the time Morton’s neuroma is felt, the problem has taken months to evolve and there is a thickening of the tissue around the nerve.  This is where extracorporeal shockwave therapy (ESWT) comes in.  ESWT is known to decrease adhesions and thereby decrease the thickness of the affected tissue.  The the desired result is the space between the bones  is returned, inflammation is decreased and the nerve is no longer being irritated.  

“Patients (with Morton’s Neuroma) receiving ESWT exhibited significantly decreased VAS (pain) scores 1 and 4 weeks after treatment [1]”

“And in a 2009 study, extracorporeal shockwave therapy (ESWT) was also found to decrease pain in people with Morton’s Neuroma [2].”

One of the great aspects of the Piezowave 2 is that you will feel the machine working.  You will have a sensation in the area being treated and, if there is no chance that you will be helped, we will know it on the first visit.  You will, simply, not feel any tingling, pulsing or pain with the treatment.

MORTON’S NEUROMA & COMPLEMENTARY CARE TO ESWT

  • Use a toe spreader like Yoga Toes

  • Stop using overly narrow shoes

  • Stop high heeled shoes

  • Scale down activities that flare-up pain

  • Do self massage

*NOTE:  Many will say to take anti-inflammatory medication or to ice the area.  When being treated with ESWT, it is better to avoid these.  Inflammation is part of the healing process and will, eventually, decrease with shockwave therapy.

© 2025 by Popowich Chiropractic & Acupuncture

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