Shoes for Morton's Neuroma

[@willmeredith3303]

Many thanks from across the pond!

[@FootExpert360]

You are welcome!

[@aaronphelps2008]

I appreciate the video. For a couple years after my neuroma’s developed, I did wear shoes that were both for stability and had a wide toe-box. However, several months ago, I strayed from the stability element and feel like my feet are becoming even healthier. Even getting some of my arches back. My last purchase (US) was a Hoka running shoe with a carbon plate. I had to incorporate them in quite gradually, especially when the shoes were newest.

[@FootExpert360]

Yes HOKA can be good. I specifically recommend carbon shoes, when the patient has great toe joint stiffness with weight transfer onto the site of the neuroma. They definitely have a role depending on the specifics of a patient foot type. The HOKA Cielo x1 is an interesting shoe !

[@raniadimitroulopoulou1285]

Your video is very helpful indeed. I suffer from Mortons neuroma and although I wear orthotic insoles , it depends on the shoes structure let's say. Even if I wear athletic shoes the pain still exists in some cases. I recently found in stores , Asics gel nimbus model which has the characteristics you described and when I tried them at the store I realized from the 1st moment a great difference in walking. I am going to buy them . Your video came at the right time , where I.was looking for the proper shoes for me to wear. Many many thanks

[@FootExpert360]

So nice to receive this feedback. Yes the Nimbus is a good shoe especially for a more neutral foot type !

[@akkuverma2328]

Hey,from how long you been facing 😢 this neuroma problem?are you able to manage it?

[@EmmaDee]

Doc! Can’t tell u how bad I need these videos. I’ve lived with this for SO LONG, positive it’s Morton’s Neuroma and not able to have surgery due to no health insurance.

[@FootExpert360]

Hi there. So pleased the videos are helpful. sorry to read about your insurance situation. Hopefully some of my advice will make a difference.

[@xmenotux]

My doctor claims the Sketchers shoes are what CAUSED my Morton's Neuroma!

[@FootExpert360]

While Sketchers offer advantages, they may not be the most stable choice for everyone, especially for those with very flat and unstable feet. In such cases, a more stable training shoe, like the Altra Paradigm, might be a better option, provided that the individual has sufficient ankle flexibility. This variability in foot structure and needs is why I advocate for personalized shoe recommendations. There isn’t a one-size-fits-all solution in footwear, as each individual’s requirements are unique.

[@novelist99]

They certainly set off my planar fasciittis a few years ago, and I'll never wear them again. Morton's neuroma though is really caused from arch collapse. Certain shoes will only make it worse.

[@peaceandlove544]

I think it happened to me, helped me with other issues but contributed with My Neuroma very likely

[@adithiojabbarnosa9979]

I also felt it when using these shoes

[@elisabethloveday8536]

What about walking boots for long distances? Thank you for all your recommendations!

[@FootExpert360]

Hi, the Meindl GTX respond comes in a hiking boot and shoe. It is excellent ! Wide fitting and very stable and has helped many of my patients !

[@Futura2500]

Also been diagnosed with this extremely painful condition I had an injection between 3rd and 4th toe, it didnt work, turns out i was getting pain between 2nd and 3rd toe also - had injection there last week. I think its removed the pain there but defo still have pain inbetween 3rd and 4th toe, I dont really want to be cut open for this. Im worried the specialist is going to suggest this, Im leaning more towards a cryosurgery procedure. I have had ultrasounds and I was shown 2 neuromas 2nd and 3rd one was smaller 3rd and 4th one is 5.4mm. Trying some PT at moment. starting today. This is a horrible problem I can hardly walk with it at the moment

[@FootExpert360]

Yes, it can really play havoc with your life, and I'm sorry you're suffering. One of the challenges is that not all neuromas are symptomatic. We often see them incidentally, and it's only if they reach a certain size or level of irritation that they become problematic. That's why you can't rely solely on the scan. It's very much a case of marrying up the scan with the clinical examination. It's not uncommon for practitioners to treat a neuroma that isn't actually causing the problem. I hope my videos are helpful, especially in allowing you to find a conservative solution. The right choice of shoes can really make a significant difference.

[@Futura2500]

Ive booked myself in for a consultation, hopefully you guys can help me @@FootExpert360

[@magalyrojas710]

Thank you very much for the information! Could you give us a little more precision in the reference of the recommended shoes, please?

[@FootExpert360]

Hi there. For trainers I recommend Run and Become in Victoria London, For Xsensible shoes and good walking shoes I can recommend. Precious Soles in Potters bar, London. Sketchers are widely available. Functional 3 swimming shoe is available on Amazon. Most of the shoes are easily found with a Google search.

[@tanitoluwaj.adedotun4960]

Great video, thanks!

[@FootExpert360]

Glad you liked it!

[@Caulstan0878]

May I offer the Altra via Olympus 2 with the red cushworks insole. Finally got the perfect pairing after tons of trial and error. I have higher arches, do with less arch support insole for lower arch

[@FootExpert360]

Yes , I like this shoe. It’s good providing your calf flexibility is ok

[@patrickbuzzo1970]

What of these shoes are available in Italy ? Many of the models you have mentioned on this video i have never heard to talk about . Thank you so much. Patrick from Italy

[@FootExpert360]

Most of the shoes are available in Italy on line but I realise that is not necessarily ideal. I wish you success !

[@YoginiLindaMadani]

Do Birkenstocks cause neuroma? I have these shoes and yes I am pain free when I wear them

[@FootExpert360]

Thank you so much for your questions about Birkenstock sandals! First off, Birkenstocks can work beautifully for some patients, while others may find them less suitable. The key factor is the built-in arch. For some, the arch hits just the right spot, providing excellent support. For others, it may not align as well, making them a bit more difficult to tolerate. Another consideration is that Birkenstocks are quite flat, which can be a challenge if you have tight calf muscles. That being said, Birkenstocks are often very well tolerated by patients with Morton’s neuroma. This is largely because they allow the foot to splay naturally, which helps reduce side-to-side compression-one of the leading causes of Morton’s neuroma, as it can trap the nerve. This is why sandals, in general, tend to feel more comfortable for many people with this condition. If you’re considering Birkenstocks, I recommend opting for a style with a back strap, which provides better support. Keep in mind that wearing sandals over long periods can sometimes cause your toes to claw, as your foot works harder to keep them on. In answer to your question, Birkenstocks certainly don’t cause Morton’s neuroma and, in many cases, can provide relief. However, there are even better footwear options for daily wear. Especially during winter, a closed-in shoe with a wide toe box would be a great choice. Look for shoes that offer the same foot-splaying benefits as Birkenstocks, like those from the Altra range or FitVille which provide excellent width. I hope this helps! Remember, finding the right shoe can make a world of difference, and you’re taking the right steps in caring for your feet. If you have any further questions, feel free to reach out. Warm regards, Ron McCulloch

[@hils3327]

Thanks for very helpful video Dr. Im just diagnosed with a Mortons Neuroma between 4th and 5th metatarsal in left foot by a 2nd podiatrist. I didnt have any imaging. They are treating me with laser, an orthotic is ordered. Foot is padded whilst waiting for orthotic. Brooks Ghost neutral runners were recommended. I wear these indoors all the time. Now my perfectly working other foot is playing up. It feels like it has been stretched (sore at the heel and on the sole). I have deduced its the Brooks. What else could it be? I tried explaining it to the podiatry team but they dont agree its the shoe. It cannot be from exercising as Iv only just started them in last few days. That foot is nearly worse than the Morton's Neuroma one now. I cannot walk in the Brooks even though the left foot feels ok in it. Wondering have you heard of this happening to the opposite foot with new shoes.? Any help appreciated as Im at my wits end!! thanks

[@FootExpert360]

Thanks for comment. Morton’s Neuroma rarely occurs between the fourth and fifth toes, a situation I’ve seen only twice in 30 years. Confirmation via ultrasound is essential. The Brooks Ghost Trainer suits a neutral foot, but effectiveness varies with foot type. If orthotics and shoes aren’t helping, alternative treatments should be considered. Our lab’s detailed orthotic analysis, using hundreds of sensors, could offer more insight. Given your current discomfort, a review of your orthotics and possibly a different shoe type might be beneficial. For more detailed advice, please feel free to contact our practice - 02082979631. Good luck !

[@hils3327]

thanks very much, so an ultrasound rather than an MRI?? I plan to go to my GP soon with this for a definite diagnosis (Im in Ireland)@@FootExpert360

[@cindynorris5983]

I did not even develop a Morton’s neuroma until I started wearing Brooks Ghost. It could be a coincidence but they now cause more pain that any other shoe.

[@pookab5905]

Thank you for your video. I wish you worked for the NHS . I waited 4 months for a physio appointment to be told ignore the numbness and not worry about it! I recently went to see a private physio who so far has been very helpful in Cambridgeshire. I wanted to buy Sketchers but l am unsure which ones to buy .

[@taraandrews5572]

Would any of the Altra versions be worth considering? They offer quite a few variations.

[@FootExpert360]

Definitely. There are two key considerations . You need to have reasonably good calf flexibility to wear them. If you have evidence of excessive pronation then I think the Altra Paradigm is good ! I have done videos on this !

[@cristinamariadegesu5134]

Do you find that Greek foot contributes to the development of Morton’s neuroma? And what do you think of the Kuru Ridge Motion hiker shoe?

[@FootExpert360]

The Greek foot poses a significant risk to Morton's neuroma. Especially between the 2-3 toes. Check out our video on this subject (Foot shapes reviewed) . The Kuru looks well made but we haven't tested it in our laboratory so cannot say more than this at the moment.

[@Jack-Surreal_Panes]

I read finding shoes like foot shaped may help since they allow the toe spread. I have Roman type feet and developed this condition along with that foot pad is always sweaty, End of the day the area swells so it feel like socks are crumpled and new socks and or inserts help. Hoping the sketchers will help but will memory foam work since told need good arch support?

[@FootExpert360]

Yes, this is a valid consideration. That's why I've suggested a variety of footwear options. If your foot tends to pronate and lacks stability, a shoe offering enhanced support is advisable. For instance, the Asics Gel Kayano is an excellent choice. Alternatively, a shoe, such as a Sketcher, may suffice if paired with a quality orthotic. A skilled podiatrist can create a custom orthotic that includes memory foam for added comfort. Regarding excessive foot perspiration, regular use of a potent foot deodorant is recommended. It's crucial to keep the areas between your toes dry. Additionally, there are commercially available devices that pass a mild electric current through the feet to significantly reduce sweating. These devices have proven to be highly effective.

[@Squeeze718]

Wish I could have used you, that surgery messed my foot up! I use Altra TOrin 7's and they are great for running.

[@FootExpert360]

Sorry we never got to meet. Hope things are ok now !

[@wowlegioncaptbloodcapt9637]

What are your thoughts on Vivobarefoot shoes?

[@FootExpert360]

I quite like them for the right patient. They are wide in the toes but obviously very minimalistic which can be an issue if you have a lack of padding under your feet or if you walk on hard surfaces. I will soon be uploading a video on off the shelf insoles that can be used with shoes like this so as to offer a bit more protection for those that need it. These shoes offer minimal support which is fine for some but not if you have a flat unstable foot or tight calves !

[@lindaguida4074]

I have Neuroma, getting cortisone shots

[@EssGeeSee]

Which Xsensible shoe are you holding?

[@FootExpert360]

I think it’s this one. shoemed.co.uk/products/xsensible-stretchwalker-swx6-cognac?variant=39774911889494&currency=GBP&gad_source=1&gclid=Cj0KCQiA2eKtBhDcARIsAEGTG41kqN2Xbg0tQ_T-x9JxmqcYHEfNEz8PZVPv5TTzh7K14tEo9xISwnEaAjEIEALw_wcB

[@cubehire3653]

II can only find some of these shoes online. There is not a shoe store where you can try them on anywhere in the Northeast that have these shoes in stock. You can have them delivered to some stores if you buy them first. Who wants to do that? I found some stores near me that carried a couple of the brands mentioned in this video but none of them had wide sizes or even thought they would be able to get them. There was a couple of shoes that carries Hoka shoes which are good but again none of them carry wide sizes. It is an order online world.

[@FootExpert360]

Yes this is very frustrating but a sign of the times with so much more mail order shopping. Many of my patients accept the inconvenience of online ordering knowing they can send them back if there is an issue. It is frustrating though !

[@shadaabkhan9870]

shoes are supposed to be foot shaped aka wide toe box. Shoes are supposed to be flexible. Shoes should not have arch support and/or have any type of cushioning. Shoes should be zero drop from heal to toe. example - Vivobarefoot, bohempia, feelgrounds, zero shoes, sole runners etc

[@FootExpert360]

I agree to a certain extent. Indeed, barefoot shoe technology can be highly beneficial for those with strong biomechanics, particularly when running on natural surfaces. However, it’s important to acknowledge the unnatural nature of concrete and other hard surfaces. Expecting the foot to adapt to such harsh terrain without adequate protection might be unrealistic. Furthermore, biomechanical efficiency plays a crucial role in foot health. Issues with foot mechanics can be the difference between sustaining injuries or remaining injury-free. Drawing from my 30 years of professional experience, I believe in the uniqueness of each individual. Accordingly, treatment and advice should be tailored to meet their specific needs and conditions

[@chriscrumly]

Of course - why would any shoe not want to be 'foot shaped' when supposedly designed to fit a human foot - where it would seem that the vast majority of shoes are so pointed that they must surely have been designed to fit a cloven hoof. It's insane! Keeps podiatrists in work I suppose - if you can afford to see them of course. The Altra Paradigm 4.0/ 4.5 was the best running shoe for me to almost eliminate the toe pain - but then Altra decided to make changes for the worse as is usually the case - although still run in the Paradigms with little else to choose from. And then there's the achilles pain on top which never goes away.

[@shadaabkhan9870]

​@chriscrumly that is unfortunately the sad truth. Y do you think terms like wide toe box and zero drop sole are not common. Modern shoes are giveing similar results as ancient chinese foot binding. Shoe tips should not be cone shaped. Or your feet might end up similar to Lebron james's

[@ahnaahna7278]

Though I have growing pain in my left foot…..I only recently received a podiatrist’s diagnosis here in USA. I am receiving laser and massage on that foot….and making footwear changes. I no longer can wear my ‘bargain price’ sketchers. 🥲…..but am wearing flip flops, and much wider shoes, icing….turmeric tablets, etc. I have high arches too. Ugh. So I will continue to experiment with all this until I am at ease. Ahna

[@FootExpert360]

Good luck ! sounds like you are taking the correct approach ! Fitflops (sandals) are often better than flipflops because of the rocker and increased cushioning

[@akkuverma2328]

Hi,any improvements ?

[@chriscrumly]

If all shoes were 'foot shaped' from birth onwards - would there be such a condition as Morton's Neuroma - I wonder? Human idiocy to design footwear with a different shape to the human foot!?

[@FootExpert360]

Fair point ! Taken to extreme with high heels. Hard unnatural surfaces are also an issue - I see a lot of dancers with Morton’s neuroma who dance in bare feet . Few more brands now producing foot shaped shoes. Fitville looks interesting with good feedback from patients

[@chriscrumly]

@@FootExpert360 Thank you. I found the Altra Paradigm 4.0/ 4.5 were the best running shoe I have run in to almost remove the pain from my 'self-diagnosed' Morton's Neuroma (3rd/ 4th toe intermittent interstitial 'pebble' - right foot). I'm no expert so may well be wrong, but still the Altra's still seem the only realistic choice of running shoe for me to stick with - albeit somewhat downhill in terms of toe pain again since they introduced newer 'improved' versions with different characeristics of cushioning, stability, etc.