Exam & Ultrasound
Physical compression tests and diagnostic ultrasound confirm the neuroma, measure its size, and guide the most appropriate treatment path.
That burning, tingling sensation between your toes — or the feeling of a pebble in your shoe that's never there — is a classic sign of Morton's neuroma. Our specialists diagnose it precisely and relieve it without surgery in most cases.
Morton's neuroma is a painful thickening of nerve tissue — often mistaken for other causes of ball-of-foot pain. Getting the diagnosis right is the first step to getting the right treatment.
Morton's neuroma develops when the nerve running between the metatarsal bones — most often between the third and fourth toes — becomes compressed and irritated, causing the surrounding tissue to thicken. The result is a persistent burning or shooting pain in the forefoot.
The condition doesn't involve an actual tumor. The name refers to the neuroma (nerve thickening) described by surgeon Thomas Morton. It is far more common in women than men, largely due to footwear. Symptoms often improve immediately when shoes are removed — a key diagnostic clue.
Diagnosis combines physical examination — including specific compression tests — with diagnostic ultrasound to visualize the neuroma directly. Ultrasound guides both diagnosis and injection treatment, ensuring accuracy.
Most neuromas respond to conservative care: shoe modification, metatarsal padding, and cortisone or sclerosing alcohol injections. For neuromas that don't respond to injections, a minor surgical decompression or excision reliably eliminates the pain.
Physical compression tests and diagnostic ultrasound confirm the neuroma, measure its size, and guide the most appropriate treatment path.
Wider shoes with a lower heel and a metatarsal pad just behind the ball of the foot relieve nerve compression immediately and are often all that's needed.
Ultrasound-guided cortisone injections reduce nerve inflammation. A series of sclerosing alcohol injections can shrink the neuroma permanently in many patients.
When injections don't provide lasting relief, a minor outpatient procedure decompresses or removes the thickened nerve — with a high rate of complete pain resolution.
"I was very satisfied with this office. Dr. O'Bryant is kind, efficient, and has great listening skills. The employees were personable at both the front desk and when getting brought to a back room. I had been to a different podiatrist last and this was a complete change."
"Such a great office! The MA & Dr. O'Bryant were incredible. I brought my daughter in for toenail issues. They were wonderful! I'm recommending this place to everyone! You guys rock! Keep up the amazing job!"
"I loved it from the first visit. The kindness from the staff and from Dr. O'Bryant made all the difference — he heard me out and got me on a clear plan. I finally feel confident about my feet again."
"Very impressed with the care I received. Everything was explained clearly, the office was spotless, and the whole team was professional and friendly from start to finish. Highly recommend The Foot Doc."