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Published on: 2/27/2026
Burning pain in the ball of the foot with tingling or a pebble-in-the-shoe feeling that worsens in tight shoes and eases when you take them off often points to Morton’s neuroma between the third and fourth toes, but there are several factors to consider including other causes like neuropathy, metatarsalgia, stress fractures, arthritis, and tarsal tunnel.
First steps usually include wider supportive footwear, metatarsal padding or orthotics, activity changes, and short-term NSAIDs, with injections or surgery only if needed; see the complete guidance below for diagnosis tips, red flags that require urgent care, prevention strategies, and how your specifics may change the best next step.
A burning sensation in the ball of your foot can be uncomfortable, distracting, and sometimes alarming. If it feels like you're standing on a pebble, a fold in your sock, or a small electric shock between your toes, Morton's neuroma may be the cause.
But not all foot pain is Morton's neuroma. Understanding the symptoms, causes, and medically recommended next steps can help you decide what to do next — calmly and confidently.
Morton's neuroma is a thickening of tissue around one of the nerves leading to your toes. It most often affects the nerve between the third and fourth toes.
Despite the name, it is not a tumor and not cancer. Instead, it's a response to irritation, pressure, or injury to the nerve. Over time, repeated stress can cause the tissue around the nerve to thicken, leading to pain and burning sensations.
It is most common in adults, especially women, and often linked to footwear and foot structure.
The symptoms of Morton's neuroma are usually specific and noticeable. You may experience:
The discomfort is often described as sharp, stabbing, or electric. Some people also report that the pain radiates into the toes.
Symptoms typically come on gradually and may worsen over time if not addressed.
A burning sensation in the foot can happen for several reasons. Morton's neuroma is one common cause, but others include:
What makes Morton's neuroma distinct is its location and trigger pattern. The pain is usually localized between the toes and worsens with pressure from tight or narrow shoes.
If your symptoms are mainly in one foot and centered between the third and fourth toes, Morton's neuroma becomes more likely.
Morton's neuroma develops due to repeated irritation or compression of the nerve. Contributing factors include:
High heels and tight shoes are major contributors because they push the toes together and increase pressure on the ball of the foot.
A healthcare provider usually diagnoses Morton's neuroma through:
Sometimes imaging tests like ultrasound or MRI are used to confirm the diagnosis, especially if symptoms are unclear or not improving.
If you're unsure whether your symptoms align with this condition, you can use a free AI-powered symptom checker for Morton's Neuroma to quickly assess your symptoms and understand what might be causing your foot pain before scheduling a doctor's appointment.
The good news is that most cases of Morton's neuroma improve without surgery. Early treatment often leads to better outcomes.
This is often the most important first step.
Choose shoes that:
Avoid narrow, tight, or high-heeled shoes whenever possible.
Over-the-counter metatarsal pads can reduce pressure on the nerve. Custom orthotics prescribed by a podiatrist may also help redistribute weight and improve foot alignment.
Reducing high-impact activities can allow inflammation to settle. You don't have to stop moving completely, but switching to low-impact exercises like swimming or cycling may help.
Nonsteroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen, may reduce pain and inflammation. These should be used according to medical guidance, especially if you have other health conditions.
If conservative measures don't help, a doctor may recommend a corticosteroid injection to reduce inflammation around the nerve. These injections can provide significant relief, though effects may vary.
Surgery is typically considered only after other treatments fail. The procedure may involve removing the thickened nerve tissue. While many people experience relief, surgery can sometimes result in permanent numbness in the affected toes.
Your doctor can help weigh the risks and benefits if it comes to that point.
You should speak to a doctor if:
While Morton's neuroma itself is not life-threatening, some causes of burning foot pain — such as severe infections, blood clots, or advanced neuropathy — can be serious. If you experience:
Seek urgent medical care immediately.
Always speak to a doctor about any symptoms that could be serious or life threatening.
In early stages, symptoms may improve with simple changes like wearing better shoes and reducing pressure on the forefoot.
However, if irritation continues, the thickened tissue may persist and symptoms can become more frequent or intense. Early intervention gives you the best chance of avoiding invasive treatments.
You can lower your risk by:
Prevention is often easier than treatment.
If your foot feels like it's burning, tingling, or like there's something stuck under the ball of your foot, Morton's neuroma could be the cause. It's a common and treatable condition caused by nerve irritation — not cancer and not something to panic about.
The most important first steps are simple:
If you're still uncertain about your symptoms, Ubie's free AI-powered symptom checker for Morton's Neuroma can help you understand whether your foot pain matches this condition and guide your next steps.
Most importantly, speak to a qualified healthcare professional for a proper diagnosis and personalized treatment plan — especially if symptoms are severe, worsening, or accompanied by other concerning signs.
Foot pain is common, but you don't have to ignore it. With the right steps, relief is often possible.
(References)
* Laor D, Sarfani S, Seneviratne S, Mears SC. Morton's Neuroma: A Review of the Current Literature. J Foot Ankle Surg. 2021 Jul-Aug;60(4):818-825. doi: 10.1053/j.jfas.2021.03.003. PMID: 33832876.
* Theriault RL, Ptaszek AJ. Morton's Neuroma: Current Management. Foot Ankle Clin. 2022 Dec;27(4):947-959. doi: 10.1016/j.fcl.2022.07.009. PMID: 36328448.
* Valisena S, Osti M, Montanari G, Maluta T, Cavani F, Nardella L, Frosio I. Morton's Neuroma: A Systematic Review of Treatment Options. J Orthop Res. 2019 Jun;37(6):1354-1361. doi: 10.1002/jor.24231. PMID: 30693574.
* Kim S, Huh YM, Lee JW, Kim JR, Lee S, Song HT, Lee HK. Morton's Neuroma: A Comprehensive Review of Imaging and Pathophysiology. Radiographics. 2016 Jan-Feb;36(1):192-205. doi: 10.1148/rg.2016150106. PMID: 26761008.
* Jung MJ, Kim KW, Kim BS, Cho YJ. Non-Surgical Interventions for Morton's Neuroma: A Systematic Review and Meta-Analysis. J Orthop Sci. 2020 Jul;25(4):727-733. doi: 10.1016/j.jos.2019.09.006. PMID: 31735597.
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