Morton’s Neuroma Treatment in Commack, NY

Common symptoms of Morton’s neuroma

• Burning pain in the ball of the foot
• Tingling or numbness in the toes
• Sharp pain that comes and goes, often worse in tight shoes
• Feeling like you’re stepping on a pebble or there’s a “fold” in the sock
• Pain that improves when you take your shoe off or massage the foot

How Morton’s neuroma is diagnosed

Diagnosis is usually based on:

• Your symptom pattern (location and triggers)
• A focused foot exam (checking for pinpoint tenderness and nerve irritation)
• Shoe wear and foot shape (tight toe box, forefoot pressure, foot mechanics)

Why X-rays are often taken

Morton’s neuroma itself does not show up on a standard X-ray, but X-rays are still important because they help rule out other common causes of forefoot pain, such as:

• Stress fracture or other fracture
• Arthritis or joint changes
• Toe alignment issues that increase pressure in the forefoot

If symptoms don’t improve with appropriate conservative care, advanced imaging (like MRI or ultrasound) may be considered to confirm the diagnosis and rule out other problems.

Conservative treatments that work

1) Shoe changes (often the biggest immediate difference)

• Wider toe box
• Avoid narrow dress shoes and high heels
• Supportive sneakers for daily walking

2) Offloading pads and forefoot support

Metatarsal pads and support strategies reduce pressure on the nerve and often improve symptoms quickly when used correctly.

3) Custom orthotics (when mechanics are a factor)

If foot mechanics are contributing (excess forefoot pressure, instability, or arch issues), custom orthotics can help offload the painful area and reduce recurrence.

4) Anti-inflammatory options and activity modification

Short-term reduction of high-impact activity plus anti-inflammatory options (when appropriate) can calm a flare and allow the nerve irritation to settle.

5) Cortisone injections (selected cases)

In some cases, a cortisone injection can reduce inflammation around the nerve and provide significant symptom relief. It’s most effective when combined with the right shoe strategy and offloading support so symptoms don’t rebound.

6) When conservative care fails

If symptoms persist despite appropriate conservative care, additional options may be discussed after a full evaluation, and referral or advanced treatment planning may be appropriate.

7) Class IV FDA-cleared laser therapy

Laser therapy can be used as a conservative option to help reduce pain and inflammation and support tissue healing as part of a full plan—especially when combined with proper footwear, offloading, and orthotic support when needed.

Service area

We service towns within a 15-mile radius such as: Commack, Smithtown, Kings Park, East Northport, Northport, Fort Salonga, Hauppauge, Stony Brook, St. James, Nesconset, Lake Grove, Ronkonkoma, Holbrook, Bohemia, Central Islip, Brentwood, Deer Park, Dix Hills, Huntington Station, Huntington, Melville, Greenlawn, Centerport, Cold Spring Harbor, East Setauket, Setauket, Port Jefferson Station, Selden, Farmingville, Islandia, and surrounding Long Island communities.

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