You may be dealing with Morton’s neuroma.

At Hillside Foot & Ankle, we offer advanced Class IV laser therapy as part of a comprehensive, non-surgical approach to managing Morton’s neuroma and forefoot nerve pain.

Morton’s neuroma involves irritation and thickening around a nerve in the forefoot, most commonly between the third and fourth toes. Symptoms can include burning, tingling, numbness, shooting pain, or the sensation of having a pebble underneath your foot. 

Traditional treatment may include footwear modifications, padding, custom orthotics, medication, injections, and—when conservative treatment fails—surgery.

But surgery isn't always where you have to start.

Our goal is to identify the source of your pain and develop a treatment plan designed around relieving symptoms while keeping you active.

Our laser delivers therapeutic laser energy to the treatment area with the goal of helping manage pain and inflammation and supporting the body's natural healing response.

Unlike surgery, laser therapy does not require an incision or surgical removal of the nerve.

✓ Non-invasive
No surgical incision.

✓ No anesthesia required for laser therapy
Treatment is performed in the office.

✓ No surgical recovery
Patients can generally return to their normal activities after treatment, depending on the overall treatment plan.

✓ Drug-free treatment option
Laser therapy can be incorporated into a treatment plan without relying on medication.

✓ Customized treatment
Treatment parameters can be adjusted based on your condition and response.

✓ Performed by a podiatrist
Your treatment begins with determining whether Morton’s neuroma is actually the source of your pain.

Laser therapy is generally described as a gentle warming sensation during treatment.

Treatment is performed in the office and typically does not require an incision or a prolonged recovery period.

Your treatment plan—including the number and frequency of sessions—will depend on the severity of your symptoms and how you respond to treatment.

You may be a candidate for laser therapy if you experience:

• Burning pain in the ball of your foot 
• Sharp or shooting pain between the toes 
• Tingling or numbness in the toes 
• The sensation of walking on a pebble 
• Pain that worsens in tight or narrow shoes 
• Forefoot pain that interferes with walking or exercise 
• Persistent symptoms despite changing shoes or trying other conservative treatments 

Not every case of forefoot pain is Morton’s neuroma. That's why proper diagnosis comes first.

Morton’s neuroma can be treated in several ways depending on the individual patient.

At Hillside Foot & Ankle, we can evaluate your symptoms and discuss options such as:

Conservative Care
Footwear changes, padding, activity modification and other strategies.

Custom Orthotics
Designed to redistribute pressure and reduce stress through the forefoot.

Injection Therapy
For appropriate patients, injections may be considered as part of treatment.

Class IV Laser Therapy
A non-invasive option that may be incorporated into a comprehensive treatment plan.

Surgical Treatment
For patients with persistent symptoms who do not respond adequately to conservative treatment, surgical options may be discussed.

Morton's neuroma can sometimes be confused with other causes of forefoot pain, including metatarsalgia, stress injuries, arthritis, nerve conditions and other problems.

That's why we take a diagnosis-first approach.

Dr. Ronny Alfandari evaluates your symptoms, examines the foot, and develops a treatment plan based on your specific condition.

Advanced technology is only useful when it's being used for the right patient.