Treating Neuromas Conservatively: The Case for Custom Orthotics

Surgery may seem like the only option for Morton’s neuroma, but custom orthotics can often provide significant relief—helping patients avoid the risks that accompany surgical intervention.
Why Custom Orthotics?
Every foot is unique, and neuroma symptoms are influenced by factors such as metatarsal parabola, foot posture, and gait mechanics. A one-size-fits-all approach often fails to provide adequate relief.
For example:

Cavus feet require different modifications than pronated feet.

Some patients may not tolerate traditional metatarsal pads, requiring alternative solutions.

Pre-fabricated orthotics often fail because they don’t address underlying biomechanical factors, and metatarsal pad placement may not be optimal for pressure relief.

Precision Matters: A Case Example
A patient with a 3rd interspace neuroma and marked overpronation found no relief with off-the-shelf inserts. A custom orthotic with anti-pronation design elements and a precisely placed metatarsal pad provided lasting relief—underscoring the importance of:

Comprehensive biomechanical evaluation

Thoughtfully written prescriptions

Precise customization

With 30+ years of experience in biomechanics and orthotic design, I collaborate closely with referring physicians to deliver evidence-based orthotic solutions. for a wide range of lower extremity conditions.
Let’s work together to optimize patient outcomes. Contact me to discuss referrals or to learn more about my orthotic approach for a wide range of lower extremity conditions.