Seattle Morton’s Neuroma & Forefoot Nerve Pain Center

Seattle Area Foot Nerve Pain, Neuroma & Nerve Entrapment Care

Not all burning or numbness is neuropathy. Entrapment, neuroma, or mechanical overload may contribute. If you are experiencing persistent forefoot pain, you may be dealing with a neuroma. At Seattle Foot and Ankle Center, Dr. John Hoy provides expert diagnosis and treatment for Morton’s neuroma, tarsal tunnel syndrome, Baxter’s nerve entrapment, peripheral neuropathy, and other nerve entrapment syndromes affecting the foot and ankle throughout Seattle, Bellevue, Shoreline, Ballard, Capitol Hill, Queen Anne, and surrounding communities. It is part of Dr. Hoy’s musculoskeletal foot and ankle medicine practice, focused on physician-level diagnosis and non-surgical treatment before surgery is considered.

Neuroma or Nerve Pain in Seattle? Relief Starts Here

A neuroma can feel like a painful knot or “kink” in the nerve—similar to a twisted hose disrupting normal flow. Our goal is to restore proper function, relieve discomfort, and help you return to an active, pain-free lifestyle.

Not all nerve pain in the foot is Morton’s neuroma. Nerve compression can occur in multiple locations and may cause burning, tingling, numbness, sharp pain, or persistent discomfort that is often mistaken for other conditions.

Foot and Ankle Problems Deserve Specialist Evaluation Early

The foot and ankle are an anatomic region, and podiatry is the specialty dedicated to that region. Musculoskeletal conditions of the foot and ankle have long been part of comprehensive podiatric medicine. Podiatrists diagnose and treat these conditions using both conservative and surgical approaches. A foot and ankle physician can first evaluate the problem, establish the diagnosis, and determine the appropriate course of care. When additional expertise is needed, that care can be coordinated as part of the treatment plan.

When pain persists despite initial treatment, the diagnosis and contributing factors may need to be reassessed.

Read more about direct access to specialty care


Foot Nerve Conditions We Treat

  • Morton’s Neuroma
  • Tarsal Tunnel Syndrome
  • Baxter’s Nerve Entrapment
  • Peripheral Neuropathy
  • Nerve Entrapment Syndromes

If you are experiencing Morton’s neuroma in Seattle, schedule your consultation today or call: 206-682-8741.


What Is a Neuroma?

A neuroma is a benign thickening of nerve tissue, most commonly found in the foot. It often develops between the toes—particularly between the third and fourth toes—and is known as Morton’s neuroma.

Morton’s neuroma is one of the most common forefoot nerve conditions, but nerve pain can also occur at the ankle, heel, or throughout the foot depending on the affected nerve.

Unlike a tumor, a neuroma results from irritation, pressure, or compression of a nerve. Over time, the affected nerve becomes enlarged and sensitive, leading to pain and discomfort during daily activities.

Common Symptoms Include:

  • Burning or sharp pain in the ball of the foot
  • Tingling or numbness in the toes
  • A sensation of walking on a pebble or folded sock
  • Pain that worsens with tight shoes or activity
  • Relief when removing footwear

Early diagnosis and treatment can prevent worsening symptoms and improve long-term outcomes.


Tarsal Tunnel Syndrome

Tarsal tunnel syndrome occurs when the tibial nerve becomes compressed as it travels along the inside of the ankle. Symptoms may include burning, tingling, numbness, shooting pain, or weakness into the arch and toes. It can sometimes mimic plantar fasciitis or neuropathy.


Baxter’s Nerve Entrapment

Baxter’s nerve entrapment is a common but often overlooked cause of heel pain. It can mimic plantar fasciitis but often causes persistent burning or sharp pain that does not improve with standard heel pain treatment.


Nerve Entrapment Syndromes

Nerve entrapment syndromes occur when nerves become compressed by surrounding tissues, causing pain, tingling, numbness, or weakness. These may affect the forefoot, heel, ankle, or toes and often overlap with sports injuries, deformity, or biomechanical problems.


Peripheral Neuropathy

Peripheral neuropathy causes numbness, burning, tingling, and altered sensation in the feet. It is commonly associated with diabetes, alcohol use, vitamin deficiencies, and systemic medical conditions. Unlike localized nerve entrapment, neuropathy often affects both feet.


Causes and Risk Factors of Morton’s Neuroma

Morton’s neuroma often develops due to repeated stress on the forefoot. Several factors can increase your risk:

Common Causes:

  • Tight, narrow, or high-heeled shoes
  • Repetitive activities such as running or sports
  • Foot deformities (bunions, flat feet, high arches)
  • Chronic pressure or irritation to the nerve

Risk Factors:

  • Occupations requiring prolonged standing or walking
  • Aging and thinning of protective fat pads in the foot
  • Family history of foot structure abnormalities
  • Inflammatory conditions such as arthritis

Understanding these factors allows for both prevention and targeted treatment.


Have These Symptoms of Neuroma?

  • Sharp, burning pain in the ball of the foot
  • Tingling or numbness between the third and fourth toes
  • Feeling like walking on a pebble
  • Pain that worsens with activity or tight shoes

In pain? Don’t wait. Early treatment leads to faster recovery. Schedule Your Seattle Foot & Ankle Consultation Today or call: 206-682-8741

Medical illustration of a human foot showing toes, nerves, and a highlighted area labeled “Neuroma” between the third and fourth toes, indicating a swollen nerve.

How Neuroma Is Diagnosed

Dr. Hoy uses a comprehensive approach to accurately diagnose neuroma conditions, including:

  • Detailed medical history and symptom evaluation
  • Physical examination of the foot
  • Diagnostic imaging such as ultrasound or MRI
  • Nerve function testing when necessary

These tools allow for precise diagnosis and a personalized treatment plan tailored to your needs. Proper diagnosis is important because Morton’s neuroma, tarsal tunnel syndrome, Baxter’s nerve entrapment, and peripheral neuropathy can produce similar symptoms but require different treatments.


Seattle Neuroma Treatment Options

At Seattle Foot and Ankle Center, we offer a full range of neuroma treatment solutions designed to relieve pain and restore function. Treatment depends on the underlying nerve condition and may include orthotics, anti-inflammatory care, offloading, injections, decompression surgery, or neuroma excision.

Non-Surgical Approaches:

  • Custom orthotics to reduce nerve pressure
  • Anti-inflammatory medications
  • Footwear modifications with wider toe boxes
  • Ice therapy and activity adjustments
  • Physical therapy and strengthening exercises

Minimally Invasive Treatments:

  • Corticosteroid injections to reduce inflammation
  • Advanced therapies to calm irritated nerve tissue

Surgical Interventions:

  • Neurectomy: Removal of the affected nerve
  • Decompression surgery: Relieves pressure by releasing surrounding structures

Dr. Hoy will recommend the most appropriate treatment based on the severity of your condition and your lifestyle goals.

In pain? Don’t wait. Early treatment leads to faster recovery. Schedule Your Seattle Foot & Ankle Consultation Today or call: 206-682-8741


Preventing Neuroma Development

Proactive foot care can significantly reduce your risk of developing nerve irritation or nerve compression conditions.

Prevention Tips:

  • Wear properly fitting shoes with adequate toe space
  • Avoid prolonged use of high heels or tight footwear
  • Use supportive insoles or custom orthotics
  • Maintain a healthy weight
  • Perform regular foot stretching and strengthening exercises

Routine foot evaluations can also help identify early warning signs before symptoms progress.


When to Seek Medical Care

You should schedule an evaluation if you experience:

  • Persistent foot pain that does not improve with rest
  • Tingling, burning, or numbness in the toes
  • Pain that worsens with walking or wearing shoes
  • Difficulty maintaining normal activity levels

Early intervention leads to better outcomes and can help you avoid more invasive treatments.


Why Patients Choose Dr. Hoy

  • Dr. Hoy’s training: UCSF/Stanford affiliated medical school and residency
  • 25+ years clinical experience in foot & ankle medicine and surgery
  • Dual board-certified podiatric physician and surgeon
  • Hospital surgical privileges at Swedish Medical Center
  • Clinical faculty member, University of Washington School of Medicine
  • Experienced in both conservative care and reconstructive surgery
  • Trusted referral destination for complex foot and ankle conditions
  • Convenient Downtown Seattle location
  • Patient reviews link: https://seattlefeet.com/reviews/patients

“Dr. Hoy is experienced, knowledgeable, and personable. I developed Morton’s Neuroma and I’ve learned so much about treating it, what to do to relieve/minimize the pain, I received proper treatment, and learned what foot attire to wear for comfort. The office manager, Jessica, is absolutely wonderful, too. Highly recommend Dr. Hoy! Complete confidence in him.” -Lalanie C.


Frequently Asked Questions About Foot Nerve Pain

What is Morton’s neuroma?

It is a thickening of the nerve tissue between the toes, commonly between the third and fourth toes, causing burning pain and numbness.

What causes Morton’s neuroma?

Causes include tight or high-heeled shoes, repetitive forefoot stress, foot deformities, and age-related changes.

How is it treated?

Treatment ranges from conservative approaches like orthotics and physical therapy to injections and, if necessary, surgery.

How long does recovery take after surgery?

Most patients resume normal activities within 4–6 weeks, though complete healing may take several months.

Can Morton’s neuroma be prevented?

Wearing proper footwear, maintaining foot strength, and avoiding repetitive forefoot stress can reduce risk.

What is tarsal tunnel syndrome?

Tarsal tunnel syndrome occurs when the tibial nerve is compressed at the inside of the ankle, causing burning, numbness, tingling, or shooting pain into the foot.

How is Baxter’s nerve entrapment different from plantar fasciitis?

Baxter’s nerve entrapment often causes burning or persistent heel pain that does not improve with standard plantar fasciitis treatment.

Is peripheral neuropathy the same as a pinched nerve?

No. Peripheral neuropathy usually affects multiple nerves and often both feet, while a pinched nerve or entrapment is typically more localized.

When is nerve surgery needed?

Surgery may be recommended when conservative care fails and nerve compression or neuroma pain continues to interfere with walking or activity.


Who we help near University District, Wallingford, and Green Lake

We regularly treat patients from the University District, Wallingford, and Green Lake who are experiencing nerve pain in the foot, including Morton’s neuroma. These symptoms often include burning pain, tingling, or the sensation of walking on a pebble.

Our clinic is easy to access from these neighborhoods, whether you’re coming from campus, nearby residential areas, or local businesses. We focus on identifying the source of nerve irritation and providing targeted treatment options.

Patients often appreciate our clear explanations and step-by-step approach to relieving nerve pain and preventing it from returning.


Schedule Your Seattle Neuroma Consultation Today

Don’t let foot pain limit your lifestyle. Take the first step toward relief with expert care from Dr. J. John Hoy.

Call today or request an appointment online to begin your personalized treatment plan.

In pain? Don’t wait. Early treatment leads to faster recovery. Schedule Your Seattle Foot & Ankle Consultation Today or call: 206-682-8741. Insurance & cost information

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