Greg Robinson Podiatry

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    • Achilles Tendon Problems >
      • Achilles Tendonitis / Tendinopathy
    • Ankle Problems >
      • Ankle Sprain/ Ankle Instability
    • Arch and Forefoot Problems >
      • Flat Feet / Fallen Arches (Over Pronation)
      • High Arched Foot / Pes Cavus
      • Metatarsalgia (pain in the forefoot)
      • Plantar Fasciitis (heel / arch pain)
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    • Children - Common Conditions Affecting Children - Osteochindrosis >
      • Osteochondrosis
      • Freiberg's Disease - Pain in the Forefoot
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      • Sever's Disease - Heel Pain
      • Sinding-Larsen-Johansson Syndrome - Pain at the Bottom of the Kneecap
    • Common Foot Injuries >
      • Ankle Sprain Injuries (ankle instability)
      • Fractures
    • Deformities >
      • Bunions
      • Burrowing Toe
      • Claw Toe
      • Curly Toe
      • Digital Deformity
      • Flat Feet / Fallen Arches (over pronation)
      • Hammer Toes
      • Mallet Toe
      • Metatarsalgia (pain in the forefoot)
      • Over-riding and Under-riding Toes
      • Retracting Toe
      • Tailors Bunion / Bunionette
    • Diabetes and Your Feet
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      • Arthritis >
        • Osteoarthritis
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      • Freiberg's Disease - Pain in the ball of the Forefoot
      • Gout / Gouty Arthritis
      • Kohler's Disease - Pain in the Navicular (bone near ankle)
      • Raynaud's Disease
      • Sever's Disease - Heel Pain
    • Forefoot Pain >
      • Metatarsalgia (pain in the forefoot)
      • Neuroma / Morton's Neuroma
      • Sesamoiditis
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      • Athlete's Foot / Tinea Pedis
      • Fungal Nails (Onychomycosis)
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      • ​Foot Care for Seniors
    • Hip Pain >
      • Trochanteric Bursitis (hip)
    • Heel Pains >
      • Cracked Heels / Heel Fissures
      • Heel Callus
      • Heel Spur
      • Plantar Fasciitis (heel and arch pain)
    • Heel Pain in Adults >
      • Heel Spur
      • Plantar Fasciitis (arch / heel pain)
    • Heel Pain in Children >
      • Plantar Fasciitis (arch / heel pain)
      • Sever's Disease - Heel Pain
    • Knee Pain Injuries >
      • ITB - Iliotibial Band Syndrome
      • Patellar Tendinopathy (jumper's knee)
      • Patellofemoral Pain Syndrome (anterior knee pain, runner's knee)
    • Nail Problems >
      • Black Toenails
      • Ingrown Toenails (Onychocryptosis)
      • Fungal Nails (Onychomycosis)
      • Paronychia (infection of the skin around the toenail)
    • Nerve Conditions >
      • Alcoholic Neuropathy
      • Burning Feet
      • Neuroma / Morton's Neuroma
      • Spasms
    • Osteoarthritis
    • Pronation of the Foot
    • Shin Splints / Shin Pain
    • Skin Problems >
      • Allergies
      • Athlete's Foot (Tinea Pedis)
      • Blisters
      • Burning Feet
      • Callus (thickened skin) & Corns
      • Corns & Callus (thickened skin)
      • Cracked Heels / Heel Fissures
      • Paronychia (infection of the skin around the toenail)
      • Sweaty Feet and Smelly Feet
      • Swelling
      • Ulcers
      • Warts / Verrucae (plantar wart)
    • Stress Fracture
    • Toe Problems >
      • Bunions
      • Burrowing Toe
      • Claw Toe
      • Curly Toe
      • Digital (toe) Deformity
      • Hammer Toes
      • Ingrown Toenails (Onychocryptosis)
      • In-toeing and Out-toeing
      • Mallet Toe
      • Neuroma / Morton's Neuroma
      • Overriding and Under-riding Toes
      • Retracting Toe
      • Subluxation
      • Tailors Bunion / Bunionette
      • Turf Toe
    • Vascular Conditions >
      • Chilblains
      • Raynaud's Disease
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Neuroma / Morton's Neuroma

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Nerves provide sensation and give the signal to the muscles to move.

Morton's neuroma is a thickening of tissues around the nerve that leads to the toes, caused by tissue rubbing against and irritating the nerves.

Morton's neuroma usually develops between the third and fourth toes in response to an abnormal bone structure, unstable forefoot or due to pressure from tight fitting shoes - wearing high-heeled or narrow shoes or trauma.

Causes:
  1. Tight ligamentous structures that directly compress the nerve.
  2. Pronated or flatfeet.
  3. Nerves may become irritated from tight shoes or sports that put stress on the ball of the foot.
  4. Arthritis or bone spurs from the adjacent joints.
  5. Soft tissue cysts causing nerve compression.
  6. Trauma to the ball of the foot.
Symptoms:.
  1. Pain on the ball of the foot with weightbearing.
  2. Numbness, burning, shooting, pain, or tingling sensation in the ball of the foot which often radiates to the toe region. Some or all these symptoms may be present.
  3. A feeling that there is a ball in the bottom of the foot or crumpled up sock in the bottom of the foot when wearing footwear.
  4. Cramping in the toes.
  5. Pain, numbness, burning, shooting, pain, or tingling sensation that is aggravated by tight shoes, high heels or walking barefooted.
  6. Activities such as running, cycling, aerobics or high impact activities that put stress on the ball of the foot may aggravate this condition.
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Treatment:

​Conservative Management (First-line: 3–6 months)

The initial goal of treatment is to relieve pressure on the affected nerve and reduce inflammation in the forefoot.
Most cases respond well to conservative care before surgery is considered.

Footwear
Wearing the right shoes can make a big difference. Choose shoes with a wide toe box and soft upper material to reduce pressure on the forefoot.
Avoid narrow or high-heeled shoes, as they compress the toes and aggravate symptoms.
Supportive, cushioned footwear allows the toes to spread naturally and improves comfort.

Custom Orthotics
Custom-made orthotics with metatarsal pads help offload pressure from the affected nerve and correct underlying biomechanical issues.
At Fix My Feet Podiatry, we design and manufacture tailored orthotics on-site to provide long-term comfort and support.

Activity Modification
Avoid high-impact activities such as running on hard surfaces during flare-ups.
Switch to low-impact exercises like cycling or swimming to stay active while reducing strain on the forefoot.

Anti-inflammatory Therapy
Apply a topical anti-inflammatory gel (such as Voltaren gel, Reparil gel or similar) to the forefoot up to three times a day to ease discomfort and inflammation.

Ice Therapy
Rolling a frozen water bottle under your foot or applying an ice pack for 10–15 minutes several times a day helps reduce pain and swelling.

Foot Muscle Strengthening
Strengthening the small muscles of the foot improves stability and reduces irritation around the nerve.
Our podiatrists can create a personalised exercise plan suited to your condition.

Class IV Laser Therapy
Class IV laser therapy is an advanced, non-invasive treatment that helps reduce chronic nerve irritation and inflammation.
We offer this therapy at Fix My Feet Podiatry, typically over a course of six weekly sessions for optimal results.

Corticosteroid Injection
A cortisone injection into the affected area may help reduce inflammation and provide longer-lasting relief.
This procedure is performed by an orthopaedic surgeon or other trained practitioner.

When Conservative Care Isn’t Enough
If symptoms persist beyond 4–6 months or if the neuroma is large, surgical management may be considered.
This involves removing the affected nerve (neurectomy) to permanently relieve pressure and pain.

How We Can Help

At Fix My Feet Podiatry, we provide comprehensive assessment and tailored treatment for nerve-related forefoot pain.
Our goal is to relieve discomfort, restore mobility, and help you return to your daily activities without pain.

Book an appointment today to find the best treatment approach for your feet.
​

1 Stan Road, Grayston Drive, Morningside, Sandton. Johannesburg

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