Metatarsalgia vs Morton’s Neuroma: How to Tell the Difference

Though a common occurrence, pain in the ball of the foot is still a nuisance, especially when the cause is unknown. Two of the most common causes of pain in the ball of the foot are metatarsalgia and Morton’s neuroma. Both conditions affect the metatarsal heads and are similar in presentation, making them hard to differentiate.

Let's learn how to distinguish between them and find the most effective treatment for your specific needs.

» Pain in the ball of your foot? Try Upstep's metatarsalgia custom orthotics

Morton’s Neuroma Pain vs. Metatarsalgia Pain

While it may be hard to differentiate between Morton’s neuroma and metatarsalgia pain, it is not impossible. Here are three areas to consider when trying to identify the real cause of your pain:

1. Location of pain While Morton’s neuroma usually affects the tissue around the plantar digital nerve between the 3rd and 4th toes, metatarsalgia pain occurs under the balls of the feet beneath the 2nd and 3rd metatarsals.
2. Type of pain Morton’s neuroma starts as a numbing and tingling sensation which worsens to become uncomfortable and painful. On the other hand, metatarsalgia often begins as a dull, aching pain that progresses to a sharp shooting pain.
3. Clicking sensation More often than not, Morton's neuroma presents with a mass and a clicking sensation around the third and fourth metatarsals. There’s no such lump with metatarsalgia, though it may still feel like you're walking on marbles.

» Learn more about metatarsalgia symptoms, causes, treatments

When to Seek Treatment for Forefoot Pain

Whichever it is, the key to recovery is prompt intervention. Both conditions start small, but you shouldn't wait until the symptoms escalate before seeking medical attention.

The first line of action is to determine the cause of pain and the severity. Only then will it be possible to choose a treatment approach. You can expect this to include:

• Rest
• Activity modification
• Ice
• Non-steroidal anti-inflammatory drugs (NSAIDs)
• Exercise
• Massage
• Prescription of braces
• Splints
• Orthotics

Only when all these fail to bring improvement does surgery become an option.

» Need extra pain relief? Try these exercises and stretches for metatarsalgia

Preventing Pain, Promoting Mobility

Differentiating between Morton's neuroma and metatarsalgia is just the first step in your healing journey. Orthotics emerge as a fundamental treatment that addresses the root biomechanical challenges underlying conditions like Morton's neuroma and metatarsalgia.

Upstep's custom-designed inserts serve as more than cushioning—they're engineered to redistribute weight, reduce inflammatory responses, and systematically correct structural imbalances.

By providing individualized support that adapts to each patient's unique foot anatomy, orthotics can improve functional mobility, reduce pain intensity, and prevent potential long-term damage.

Experience Targeted Pain Relief

Upstep's Metatarsalgia Custom Orthotics provide a personalized solution for all types of forefoot pain by addressing the underlying cause.

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