Rest and elevation:
Rest and elevation of the affected foot help to relieve the pressure on the compressed nerve.
Application of ice on the foot where there is a neuroma can subside the flare-up, especially after a long day of activities. Ice therapy significantly reduces inflammation and pain.
Heat therapy can be used by soaking the feet for 10 minutes and the pain magically disappears. This can be followed by massaging the feet and rubbing them with a pain ointment.
Therapeutic ultrasound is beneficial to decrease the associated inflammation and pain.
Extracorporeal Shockwave Therapy:
Extracorporeal Shockwave Therapy is a useful modality to reduce pain in patients with Morton's neuroma.
Shoes with the adequate room across the ball of the foot and in the toe are recommended. Foot pads and arch supports such as metatarsal pads fit inside the shoe and help reduce pressure on the nerve.
Orthotics help with gait abnormalities, as gait abnormalities can lead to back pain, arthritis, or other problems. Orthotics are customized shoe inserts that can reduce some of the pain caused due to Morton's neuroma, by relieving the pressure from the painful nerve. Metatarsal pads in the shoe inserts and removable metatarsal pads can also offload the ball of the foot where there is pain.
The foot muscles are originally weaker, which is why Morton's neuroma has appeared. Strengthening exercises like balancing the foot, drawing the alphabet with the foot and many more can be done.
Stretching exercises such as toe extensor stretch, lower foot, plantar fascia, and calf muscles regularly stretching can be carried on.
Deep tissue massage is applied with caution and utmost care to avoid aggravating the neuroma. Massage techniques are used to relieve pressure and compression on the metatarsal heads.
Manual therapy is effective in relieving pain, by altering afferent nociceptive barrages, normalizing sensorimotor mismatches, and activating descending anti-nociceptive pathways.