Morton’s Neuroma Feels Like a Pebble in Your Shoe


The sensation of having a pebble in your shoe is one of the primary symptoms of a condition called Morton’s neuroma in which a nerve becomes constricted and inflamed. This usually happens between the second and third, or the third and fourth metatarsal bones.

 As the neuroma forms in response to injury, soreness, and pressure on one of the nerves that extends into the metatarsal bones, severe pain and discomfort can make walking, standing, and exercising extremely painful.

 Wearing tight-fitting shoes like high heels is a major risk factor for developing a foot neuroma, and people who participate in high impact sports like basketball, football, and rugby are more susceptible.

 Treatments for Morton’s neuroma include the following:

 1)    Resting—Reduce or stop all strenuous activities to relieve stress and pressure on the nerve.

2)    Proper shoes with orthotic inserts—Shoes with a wider toe box will provide space for your toes to move and for the addition of custom orthotics to redirect pressure away from the nerve.

3)    Reduce swelling and pain—Icing the area will relieve inflammation and ibuprofen may be used in moderation to relieve pain.

4)    Nerve modification with surgery—When conservative treatments are not effective, surgery on the nerve may be necessary.

 If you have the annoying sensation that there’s a pebble in your shoe, see your foot doctor for the correct diagnosis and care. At E.J. Nemet, DPM in Twinsburg, OH, podiatrist Dr. Nemet treats a variety of foot and ankle conditions, including sports injuries, pediatric foot problems, and nerve disorders. Dr. Nemet and his dedicated staff provide expert and compassionate care to patients in the Twinsburg and Beachwood areas. Contact us at (234) 212-9940 or schedule an appointment online today!