Chronic Pain and Neuropathies

Morton's Neuroma

Morton’s Neuroma is a painful compressive neuropathy of the plantar interdigital nerve, most commonly located between the third and fourth intermetatarsal spaces of the foot. It is characterized by fibrotic and degenerative thickening of the nerve secondary to mechanical irritation, repetitive compression, and chronic inflammation.

This condition may cause intense pain in the forefoot and significantly limit walking, sports activities, and the patient’s quality of life. It is more common in women and may be associated with wearing narrow or high-heeled shoes, biomechanical foot disorders, mechanical overload, or repetitive impact activities.

Most Common Symptoms

Symptoms are usually progressive and may worsen with prolonged standing or during walking.

The most common symptoms include:

Pain in the plantar region of the forefoot
Burning sensation or electric shock-like pain
Pain radiating toward the toes
Sensation of “walking on a pebble” or a foreign body
Tingling or paresthesia in the toes
Pain while walking or running
Worsening symptoms when wearing narrow shoes
Localized tenderness between the metatarsals
Functional limitation and difficulty walking

In some patients, the pain may become persistent even at rest and progressively become chronic.

Advanced Diagnosis

Diagnosis requires a detailed clinical and biomechanical assessment together with imaging studies aimed at confirming involvement of the interdigital nerve and ruling out other causes of metatarsalgia.

Specialized Treatment of Morton's Neuroma

At Clínica VERTEBRA, we provide a comprehensive and personalized approach aimed at reducing nerve irritation, controlling pain, and improving foot function through advanced, minimally invasive techniques.

Treatment options may include:

Medical and anti-inflammatory treatment
Footwear modification and mechanical offloading
Orthotics and biomechanical correction
Specialized Rehabilitation and Physiotherapy
Precision Image-Guided Infiltration Treatments
Radiofrequency Treatment for Morton’s Neuroma (Ruiz-López Technique)
Biological Therapies and Regenerative Medicine
Minimally Invasive Percutaneous Interventional Techniques

Radiofrequency treatment is a minimally invasive therapeutic alternative that is particularly beneficial for patients with persistent pain or pain refractory to conservative treatment.

The procedure allows direct treatment of the affected nerve to modulate pathological pain transmission and reduce neural irritation.

Radiofrequency treatment may help to:

Reduce neuropathic pain
Decrease inflammation and neural sensitization
Improve walking ability
Restore foot function
Avoid or delay surgical treatment in selected patients

It is a safe, outpatient, image-guided procedure with rapid functional recovery.

At VERTEBRA SpinePain & Regenerative SURGERY CENTERS, we have extensive expertise in the diagnosis and interventional treatment of neuropathic and musculoskeletal foot pain, using high-precision ultrasound-guided techniques together with personalized therapeutic protocols tailored to each patient.

Our goal is to provide effective, safe, and minimally invasive treatments that relieve pain, improve function, and facilitate a return to daily activities and sports with the highest level of diagnostic and therapeutic precision.