Morton's neuroma is a compressive neuropathy that affects a nerve in the forefoot, most commonly located between the third and fourth toes. It develops when the nerve becomes irritated, compressed, and thickened due to repeated pressure and friction. This condition is not a tumor, but rather a response to ongoing mechanical stress within the intermetatarsal space. Common causes include wearing tight-fitting shoes, high-heeled footwear, and structural foot imbalances. Over time, this constant irritation leads to inflammation of the nerve, resulting in discomfort that can interfere with daily movement and physical activity.

Symptoms of Morton's neuroma often begin gradually and may increase in intensity if left untreated. Individuals frequently report a burning or sharp pain in the ball of the foot, along with tingling or numbness that may extend into the toes. A common description includes the sensation of stepping on a small pebble or feeling a fold in the sock. Pain may worsen during walking, prolonged standing, or while wearing narrow shoes that compress the forefoot. Relief may occur temporarily when shoes are removed or the foot is massaged.

The entrapment theory explains that the nerve becomes compressed between the metatarsal bones and surrounding ligaments, leading to thickening and increased sensitivity. This repeated compression creates a cycle of irritation and inflammation. Risk factors include high impact sports, wearing improper footwear, and biomechanical conditions such as flat feet or high arches. Women are more frequently affected due to footwear that places additional pressure on the forefoot.

Early recognition and proper management can reduce symptoms and prevent further progression. Wearing supportive shoes, modifying activities, and maintaining proper foot care can help relieve pressure on the affected nerve. Addressing the underlying cause is essential for long term improvement. If you have symptoms of Morton's neuroma, it is suggested that you consult a podiatrist for effective relief and treatment solutions. 

Morton’s neuroma is a very uncomfortable condition to live with. If you think you have Morton’s neuroma, contact Anas Khoury, DPM of North Eastern Foot & Ankle Specialists. Our doctor will attend to all of your foot care needs and answer any of your related questions.  

Morton’s Neuroma

Morton's neuroma is a painful foot condition that commonly affects the areas between the second and third or third and fourth toe, although other areas of the foot are also susceptible. Morton’s neuroma is caused by an inflamed nerve in the foot that is being squeezed and aggravated by surrounding bones.

What Increases the Chances of Having Morton’s Neuroma?

• Ill-fitting high heels or shoes that add pressure to the toe or foot
• Jogging, running or any sport that involves constant impact to the foot
• Flat feet, bunions, and any other foot deformities

Morton’s neuroma is a very treatable condition. Orthotics and shoe inserts can often be used to alleviate the pain on the forefront of the feet. In more severe cases, corticosteroids can also be prescribed. In order to figure out the best treatment for your neuroma, it’s recommended to seek the care of a podiatrist who can diagnose your condition and provide different treatment options.

If you have any questions, please feel free to contact our office located in Passaic, NJ . We offer the newest diagnostic and treatment technologies for all your foot care needs.

The heel fat pad is a layer of fatty tissue under the heel bone. It works like a cushion, absorbing force when your heel hits the ground. Heel fat pad atrophy occurs when this layer becomes thinner, shifts out of place, or loses its springy quality. The heel then has less protection from pressure. Pain feels deep and bruise-like in the center of the heel. It can worsen when standing for long periods of time, when walking on hard floors, or when running. Unlike plantar fasciitis, which usually hurts closer to the inner edge of the heel, fat pad pain tends to stay centered beneath it.

Age-related changes can reduce the fat pad’s thickness and flexibility. High-impact activity and added body weight can place stress on this tissue. Other causes include an injury, diabetes, or arthritis. Shoes that lack proper support can make symptoms worse because they provide less cushioning. Patients may change the way they walk to avoid pain. That can place extra strain on the feet, ankles, or knees. Since heel fat pad atrophy can resemble other heel problems, an accurate diagnosis is important. A podiatrist will review the symptoms, examine the painful area, and study how you stand and walk. Imaging, like an ultrasound or X-ray, can measure the pad or rule out another cause.

Treatment focuses on reducing pressure and improving heel protection. A podiatrist can recommend heel cups, supportive shoes, or custom orthotics. Orthotics are shoe inserts that support your feet and improve how pressure is spread. The podiatrist also may use taping to hold the heel pad in a better position. The care plan will reflect specific symptoms, activity level, and foot structure. Surgery is rarely considered for this problem. If you have pain underneath the heel, it is suggested that you schedule an appointment with a podiatrist for a diagnosis and appropriate treatment.

Many people suffer from bouts of heel pain. For more information, contact Anas Khoury, DPM of North Eastern Foot & Ankle Specialists. Our doctor can provide the care you need to keep you pain-free and on your feet.

Causes of Heel Pain

Heel pain is often associated with plantar fasciitis. The plantar fascia is a band of tissues that extends along the bottom of the foot. A rip or tear in this ligament can cause inflammation of the tissue.

Achilles tendonitis is another cause of heel pain. Inflammation of the Achilles tendon will cause pain from fractures and muscle tearing. Lack of flexibility is also another symptom.

Heel spurs are another cause of pain. When the tissues of the plantar fascia undergo a great deal of stress, it can lead to ligament separation from the heel bone, causing heel spurs.

Why Might Heel Pain Occur?

• Wearing ill-fitting shoes                
• Wearing non-supportive shoes
• Weight change           
• Excessive running

Treatments

Heel pain should be treated as soon as possible for immediate results. Keeping your feet in a stress-free environment will help. If you suffer from Achilles tendonitis or plantar fasciitis, applying ice will reduce the swelling. Stretching before an exercise like running will help the muscles. Using all these tips will help make heel pain a condition of the past.

If you have any questions, please feel free to contact our office located in Passaic, NJ . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Ankle pain is a common problem that can affect people of all ages and activity levels. The ankle is a complex joint that supports body weight while allowing the foot to move in different directions. Pain may develop suddenly after an injury or appear gradually from repeated stress. Common symptoms include swelling, stiffness, and tenderness surrounding the joint. Some people also experience bruising, difficulty walking, or a feeling that the ankle is unstable. Ankle pain may result from sprains, fractures, or inflammation of the tendons that connect muscles to bones. Because many conditions can produce similar symptoms, a professional evaluation is important to identify the underlying cause and recommend the most appropriate treatment.

Persistent ankle pain can interfere with everyday activities and limit mobility if left untreated. Ongoing discomfort may change the way a person walks, placing additional stress on the foot and lower leg. In some cases, such altered movement can increase strain on the knee or hip over time. A comprehensive podiatry examination helps evaluate the ankle's stability, range of motion, and overall function. Imaging studies may be recommended when a fracture or more serious injury is suspected. Early diagnosis allows treatment to begin before the condition progresses or causes long-term problems that affect balance and daily movement.

A podiatrist specializes in diagnosing and treating ankle pain while evaluating how the injury or condition affects the entire foot and ankle. Professional care focuses on relieving pain, restoring mobility, and improving joint function through an individualized treatment plan. Care is based on the cause of the symptoms and may be adjusted as healing progresses. Regular follow-up visits also help monitor recovery and reduce the risk of ongoing instability or recurring injuries. If you have persistent ankle pain, swelling, or difficulty walking, it is suggested that you consult a podiatrist for an evaluation and appropriate treatment options.

Ankle pain can be caused by a number of problems and may be potentially serious. If you have ankle pain, consult with Anas Khoury, DPM from North Eastern Foot & Ankle Specialists. Our doctor will assess your condition and provide you with quality foot and ankle treatment.

Ankle pain is any condition that causes pain in the ankle. Due to the fact that the ankle consists of tendons, muscles, bones, and ligaments, ankle pain can come from a number of different conditions.

Causes

The most common causes of ankle pain include:

• Types of arthritis (rheumatoid, osteoarthritis, and gout)
• Ankle sprains
• Broken ankles
• Achilles tendonitis
• Achilles tendon rupture
• Stress fractures
• Bursitis
• Tarsal tunnel syndrome
• Plantar fasciitis

Symptoms

Symptoms of ankle injury vary based upon the condition. Pain may include general pain and discomfort, swelling, aching, redness, bruising, burning or stabbing sensations, and/or loss of sensation.

Diagnosis

Due to the wide variety of potential causes of ankle pain, podiatrists will utilize a number of different methods to properly diagnose ankle pain. This can include asking for personal and family medical histories and of any recent injuries. Further diagnosis may include sensation tests, a physical examination, and potentially x-rays or other imaging tests.

Treatment

Just as the range of causes varies widely, so do treatments. Some more common treatments are rest, ice packs, keeping pressure off the foot, orthotics and braces, medication for inflammation and pain, and surgery.

If you have any questions please feel free to contact our office located in Passaic, NJ . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.