Neuroma

Complaints

• Tenderness and pain between the metatarsal heads
• Increased pain with walking and running activities

Possible Causes

• Pronation may increase symptoms
• Shoes with tight fitting toe box and insufficient torsional support in midsole

Shoe Profile

For moderate to excessive pronators, the long axis of the shoe should provide maximum torsional control of foot rotation (pronation) and the midsole should provide proper vertical support. Proper support reduces shearing forces on the metatarsal heads that leads to pain and tenderness. Shoes should have a wide toe box to reduce compression of the metatarsals.

Orthotics

Neutral (mild pronators) – Over-the-counter orthotics with appropriately placed metatarsal support
Moderate to excessive prontators – Custom orthotics

Shoe Recommendations

The following shoes meet these criteria. Please click on the appropriate link to see the shoes and their test data.

Men’s Women’s