Morton’s Neuroma Surgery2021-07-09T09:46:23+01:00

Morton’s Neuroma Surgery

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Morton’s Neuroma Surgery

Foot & Ankle Surgeon

What is a Morton’s neuroma?

A Morton’s neuroma is an enlargement and inflammation of a nerve in the “ball of the foot”.

What causes a Morton’s neuroma?

A Morton’s neuroma is caused when a nerve in the foot, that runs to the toes, becomes repetitively trapped in the “ball of the foot” (between the metatarsal heads) during walking and standing, causing the nerve to become swollen and inflamed. Factors that contribute to irritation of the nerve include: abnormal foot mechanics, tight calf muscles and inappropriate footwear (narrow toe box or high heeled shoes).

What are the symptoms of a Morton’s neuroma?

The symptoms of a Morton’s neuroma are pain in the “ball of the foot” and numbness or tingling in the toes, which is usually worse while walking or standing. It can feel like a pebble moving around under the “ball of the foot” and occasionally causes a clicking sensation. A Morton’s neuroma generally occurs between the second and third or third and fourth toes. The condition can get worse with time as the nerve becomes larger.

How is a Morton’s neuroma diagnosed?

A Morton’s neuroma is diagnosis made on your symptoms and clinical examination. A foot X-ray is usually obtained to exclude other common causes of pain in the “ball of the foot” (metatarsalgia). An ultrasound can be performed to confirm the size and location of the Morton’s neuroma.

What is inter-metatarsal bursitis?

Inter-metatarsal bursitis is when an inflamed fluid filled sac (bursitis) forms between the long bones in the foot (metatarsals) or in the ball of the foot (metatarsal heads). The symptoms, causes, diagnosis and treatment options are similar to a Morton’s Neuroma.

What are the treatment options for a Morton’s neuroma?

In the first instance simple treatment measures are recommended to try and reduce your symptoms. These can have significant benefit and help avoid having surgery. Listed below are some of the main first line treatments for Morton’s neuroma but it is not exhaustive.

  • Appropriate footwear with a wide toe box and thicker soles. Avoid high heeled shoes.
  • Orthoses (medical insoles) can be useful in improving foot function and reducing pain. You can be referred to the Orthotist for a specialist opinion.
  • Activity modification by reducing activities that cause symptoms of pain
  • Stretching exercises to the calf muscles can reduce pressure through the “ball of the foot” whilst walking and standing.
  • Injection therapy with a steroid injection can sometimes improve pain by reducing inflammation around the nerve. You may decide on a repeat injection, but more than two to three injections are generally not recommended.

Morton’s neuroma surgery would only be considered an option as a last resort after non-surgical treatments have failed, and would depend on the extent of your symtoms and medical co-morbidities. Surgery is not without risks and has an associated recovery period. Please see separate information leaflet on Haglund’s syndrome surgery.

Wellbeing Advice                                                                                                           

Patients that have a healthy diet, take regular exercise and refrain from smoking prior to surgery are more likely to experience quicker and better recovery with a more successful outcome from their surgery.

If you have any concerns about your general health and well being (diet, exercise, smoking cessation) you are encouraged to discuss this with your GP, who will be able to provide advise on the options available to you.

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Our Aim

Our aim is to help eliminate your pain and allow you to get back to the things you want to do, as quickly as possible. Experienced in the latest advances in surgery and rehabilitation, we want to get you back on your feet and help them last a lifetime.

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Meet Our Team

Mercury Foot & Ankle Surgeon Intro Video
Mr Arul Ramasamy

Consultant Orthopaedic Foot & Ankle Surgeon
PhD, FRCS(Tr&Orth), DipSportsMed, MFSEM, MA(Cantab)

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Mercury Foot & Ankle Surgeon Intro Video
Mr Joel Humphrey

Consultant Orthopaedic Foot & Ankle Surgeon
BSc(Hons), MBBS, MSc(SportsMed), FRCS(Tr&Orth)

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Foot & Ankle Surgeon

My condition had deteriorated to the point that I was unable to walk for extended periods of time without pain and swelling of the ankle, and I would rarely be able to join in most family activities. The support and guidance provided by Mr Ramasamy were exemplary and enabled me to make a fully informed decision regarding the options available to me. Now, the pain is much more manageable and the stability that the treatment has provided is such that I feel that I regained a significant part of my life and as such my confidence.

Private Client

I found Mr Ramasamy extremely professional and reassuring. On the day of my procedure I received the most efficient, organised and professional care in my life. Your nurses were the best I have ever experienced. Mr Ramasamy’s team, in theatre made me feel at ease and made the whole procedure more bearable. They go way beyond the extra mile for their patients.

Private Client

I wanted to share my excellent experiences and compliment Mr Ramasamy and his team. I found him extremely professional and reassured that he understood how much pain I was in. On the day of my procedure, it was the most efficient, organized and professional care I have ever received – from checking into reception to being allocated a bay and taken into theatre – your nurses in the recovery area were the best I have ever received. Mr Ramasay’s team, especially in theatre, made me feel at ease, kept me informed throughout the whole procedure and made the whole procedure more bearable.

Private Client


Health care is the diagnosis, treatment,and prevention of disease, illness, injury, and other physical impairments in human beings.

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Frequently Asked Questions

Foot & Ankle Surgeon
What is the process if I am paying for my own treatment?2020-08-27T13:58:16+01:00

After your appointment you will be emailed an invoice to be paid within 30 days via a bank transfer.

Will my insurance cover me?2020-06-28T13:37:20+01:00

Our practice is covered by the major healthcare insurance providers. If you have private medical insurance, please contact your insurer to confirm that you are covered for your consultation and imaging appointments and whether you will need a GP referral. Please do this prior to seeing your Consultant. Your insurance company will provide you with an authorisation code which we will need when booking your appointment, along with your policy or membership details. All of this information can be obtained from your insurance company.

Depending on your specific insurance policy you may liable for some of the costs and there may be certain outpatient treatments such as joint injections and blood tests that may not be fully covered by your insurance policy. Please note, even if you are privately insured, you are entirely responsible for all of your consultants’ fees and that the contract you undertake is with your consultant and not your insurance company.

Foot & Ankle Surgeon
Foot & Ankle Surgeon
Foot & Ankle Surgeon
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Foot & Ankle Surgeon
How much does it cost?2020-08-27T13:59:05+01:00

In most cases, your outpatient costs should be covered by your insurance company, but please check as this can vary depending on your individual insurance and excess policy. If you are a self-pay, new appointments are £200 and follow up appointments are £150.

Do I need a new or follow-up appointment?2020-06-23T15:52:11+01:00

If you have not seen the Consultant previously for this problem, you have a different problem or if it is more than 1 year since your last appointment then please book a new appointment.

Do I need a referral letter?2020-08-03T11:12:11+01:00

If you are claiming through your health insurance, they may require a referral from your GP or therapist before authorising your consultation and treatment. If you are unsure then please call 01908 382 353 or email us on and one our team will be able to assist you. If you are paying for treatment yourself then you do not need a referral letter.

How do I make an appointment?2020-08-03T11:12:20+01:00

To arrange an appointment with one of our Consultants, please call 01908 382 353 or email us on

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Foot & Ankle Surgeon

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