Podiatrist Liam McManus - Morton's Neuroma

In this episode of RunPod, host Jenny Falconer is joined by podiatrist Liam McManus to explore Morton's Neuroma, a painful condition affecting the foot. McManus describes the typical symptoms experienced by patients, which include a burning sensation on the ball of the foot and discomfort between the third and fourth metatarsals, potentially radiating to adjacent toes.

McManus explains that a Morton's Neuroma is essentially an interdigital thickening of a nerve, which can become inflamed, leading to pain. The factors contributing to the condition may include wearing high heels or narrow shoes that compress the forefoot. Some theories suggest that nerve distribution in the foot can also play a role, making certain individuals more susceptible to experiencing pain.

The conversation then shifts to management strategies for Morton's Neuroma, emphasizing the importance of footwear. McManus recommends shoes with a wide forefoot to reduce pressure on the affected area. He discusses non-surgical approaches, such as specific foot exercises, use of orthotics to relieve pressure, and potential steroid injections to alleviate inflammation. Surgery is presented as a last resort if conservative management fails, but it carries the risk of permanent numbness.

Finally, McManus reassures runners that it is possible to continue running with Morton's Neuroma, as long as the diagnosis is accurate, and the right precautions are taken. If surgical intervention is ultimately required, patients can still return to running post-operation.