Forefoot Neuromas in Laval | Morton's Neuroma and Intermetatarsal Bursitis

What is a Forefoot Neuroma?

Forefoot neuromas and intermetatarsal bursitis are common causes of pain, burning or numbness between the toes. These conditions can present with similar symptoms and are sometimes confused.

A neuroma is irritation or thickening of a nerve, generally caused by repeated mechanical compression. In the forefoot, neuromas mainly affect the interdigital nerves located between the metatarsals.

At Clinique podiatrique de l'Avenir, our podiatrists in Laval evaluate and manage nerve and inflammatory forefoot pain with a progressive and individualized approach.

Morton's Neuroma

Morton's neuroma is the most common forefoot neuroma. It most often affects the space between the 3rd and 4th toes, less commonly between the 2nd and 3rd. Contributing factors include repeated compression of intermetatarsal spaces, associated metatarsalgia, biomechanical imbalances, narrow or high-heeled shoes and impact sports activities.

Intermetatarsal Bursitis

Intermetatarsal bursitis is inflammation of a bursa located between the metatarsal heads. It can cause symptoms very similar to a neuroma: localized pain between two metatarsals, sensitivity to pressure, increased pain when walking. Unlike a neuroma, neurological symptoms (numbness, electric shocks) are generally less marked or absent.

Podiatric Evaluation

Evaluation includes targeted forefoot clinical examination, palpation of intermetatarsal spaces, biomechanical analysis, gait observation and shoe evaluation. Ultrasound can visualize nerve thickening compatible with a neuroma or identify intermetatarsal bursitis.

Management Options

Conservative Approaches

Custom foot orthotics to reduce intermetatarsal pressure, shoe modifications (width, cushioning), activity adjustment and personalized clinical advice.

Advanced Therapeutic Modalities

When symptoms persist: PRP (platelet-rich plasma) in certain targeted situations, hyaluronic acid when clinically relevant. Sclerosing alcohol injection may be considered in certain selected clinical situations, on a case-by-case basis.

Surgery

In cases of persistent and disabling pain despite failure of conservative and advanced treatments, surgical options may be discussed as a last resort.

To learn more about injectable options (sclerosing alcohol, hyaluronic acid, PRP), see our Morton's Neuroma — Injectable Options page.

When to See a Podiatrist?

Consult if you experience pain, burning or numbness in the forefoot in Laval. Book an appointment with a podiatrist at Clinique podiatrique de l'Avenir for a complete evaluation and care in accordance with current standards.