Morton’s neuroma makes every step a negotiation, and it tends to win more of them the longer it goes unaddressed. The burning between your toes, the pebble-in-the-shoe feeling that no amount of shoe-shaking fixes, the numbness that spreads through the forefoot mid-run: it turns runners cautious and makes anyone dread a long day on their feet. We treat this condition across runners, walkers, and gym-goers at ActiveX Physio in Singapore, and it responds well when the mechanics behind it are addressed directly.
How we approach Morton’s neuroma
You have probably switched shoes, added gel inserts, and shortened your runs, and the burning keeps finding you. A neuroma is an irritated and thickened nerve between the metatarsals, and it stays irritated while the mechanics that compress it stay unchanged. We assess how your forefoot spreads and bears load when you walk and run, the width and drop of the footwear you actually train in, the strength of the small muscles that control your toes and arch, calf tightness that shifts load forward onto the forefoot, and whether your running pattern concentrates force where the nerve lives. Compression is the disease. Everything in the plan works to reduce it.
What treatment looks like
Treatment starts with taking pressure off the nerve: footwear with a genuinely wide toe box so the metatarsals stop squeezing the nerve, metatarsal padding positioned to spread the load, and adjustments to training volume that calm the irritation without stopping you completely. Alongside that we strengthen the foot intrinsic muscles and calf complex so the forefoot manages load better long-term, and rebuild your walking and running tolerance progressively. For runners, small changes in cadence and foot strike can shift where force lands and take daily pressure off the nerve. Persistent cases have further medical options, including injections, and we help you sequence conservative care properly before you consider them.
Who can help
Any of our physiotherapists can assess and treat Morton’s neuroma. Ivan Tam in particular, specialises in foot biomechanics and lower limb loading.