How effective is custom orthotics for morton's neuroma?

Morton's neuroma involves irritation around a nerve between the toes, often producing burning, tingling or a feeling of a pebble in the shoe. A custom device can use a metatarsal pad or other contour to spread load away from the tender space. It works by changing pressure and foot movement, not by removing the irritated tissue. If the pain is caused by another condition, an orthotic may not provide the expected relief.

Choose shoes with a broad toe box, a low heel and enough depth for the device. A clinician can position the pad so it supports the forefoot without pressing directly on the painful area. Wear the orthotic for short periods at first, then build up as tolerated. Reduce activities that repeatedly compress the forefoot while symptoms settle. Explore [Custom Orthotics](/treatments/non-surgical-orthopedics/custom-orthotics/).

Arrange an assessment if forefoot pain persists, spreads, or limits normal walking. Seek prompt care for sudden swelling after injury, inability to bear weight, a hot red foot, marked numbness or a wound. Ongoing symptoms may need confirmation of the diagnosis and options beyond footwear and orthotic support.

Ask whether your symptoms fit Morton's neuroma, where a metatarsal pad should sit, which shoes are suitable, and how long to trial the device before review. Ask what other treatments are available if pressure relief is insufficient.