Orthotics for morton’s neuroma

Orthotics for Morton’s Neuroma · Forefoot offloading

Custom orthotics for Morton’s neuroma on the Gold Coast.

Burning, shooting pain at the ball of the foot, sometimes with numbness in the toes? Morton’s neuroma is a thickening of one of the nerves between the toes, and custom orthotics with a specific design are one of the most effective conservative treatments available.

What Morton’s neuroma is — and how the right orthotic helps.

Morton’s neuroma is a thickening (perineural fibrosis) of one of the interdigital nerves between the metatarsal bones, usually between the third and fourth toes. As the nerve becomes thickened and irritated, it produces pain, burning, tingling and sometimes numbness in the affected toes. Walking, running and wearing tight or pointed shoes typically worsens symptoms; rest and barefoot walking on soft ground typically helps.

The mechanical cause is repeated compression of the nerve between the metatarsal heads, often from poor forefoot offloading or constrictive footwear. The right orthotic addresses this directly — a metatarsal dome positioned just behind the metatarsal heads spreads the metatarsals apart, relieves the compression on the nerve, and allows the inflammation to settle.

Custom orthotics for Morton’s are not the same as everyday orthotics. The dome position and height need to be specific to the location of your neuroma — too far forward or back and you’re not unloading the nerve. Off-the-shelf orthotics rarely have this precision.

How the orthotic helps

Six elements of an orthotic designed for Morton’s neuroma.

Each of these contributes to actually unloading the nerve and resolving the symptoms.

01
Metatarsal dome positioning
Placed just proximal to (behind) the metatarsal heads to spread them apart and lift the soft tissue away from the nerve.
02
Forefoot cushioning
Padding under the metatarsal heads absorbs impact during weight-bearing, reducing the repeated compression.
03
Heel-to-toe angle adjustments
A slight heel raise or rocker bottom can reduce the load on the forefoot during push-off — the most painful phase for many neuroma sufferers.
04
Arch support
Where excessive pronation is contributing, arch support repositions the foot so the metatarsal heads aren’t loaded asymmetrically.
05
Footwear matching
The orthotic only works in the right shoe. We’ll talk through which shoes work for Morton’s — wide toe box, low heel, stiff sole.
06
Activity-specific designs
Different orthotic profiles for running, walking, work shoes and dress shoes. Most patients end up with two pairs — everyday and dress.
How we approach it

Three steps from first visit to outcome.

01
Assessment.
A 45-minute podiatry assessment. Confirms the diagnosis (compression test, palpation, Mulder’s click), identifies which interspace is affected, and rules out other forefoot pain conditions.
02
Treatment plan.
A 3D scan and prescription specific to your neuroma. Manufactured in Australia. Fitting appointment with adjustment as needed once they arrive.
03
Review and progression.
Reviewed at 6-8 weeks. Most patients see significant symptom improvement by then. If symptoms persist we discuss additional options (ultrasound-guided injection, alcohol ablation, surgical referral).
HICAPS on the spot with every major fund · Medicare GPCCMP, DVA, NDIS & WorkCover accepted where applicable.
Medibank Bupa HCF NIB AHM Australian Unity Defence Health Police Health Navy Health TUH CUA St Lukes
Forefoot offloading, custom-designed.

Book your Gold Coast Morton’s neuroma orthotic assessment.

(07) 5572 6222