Confirm the Cause, Then Treat It
A prescribing clinician-led, two-stage diagnostic and treatment approach for Morton's neuroma — because no treatment should proceed without a confirmed diagnosis.
What is Morton's neuroma?
Morton's neuroma is a thickening of the tissue around one of the nerves leading to your toes — most commonly between the third and fourth toes. It can cause burning, tingling, or sharp pain in the ball of the foot, often described as feeling like standing on a pebble.
Many patients arrive uncertain about their diagnosis. They may have been told they “might” have a neuroma, or have had inconclusive imaging. Our approach is designed specifically for this uncertainty — we confirm before we treat.
Pricing
Consultation
£50
Podiatry MSK injection assessment
Treatment
from £250
Morton's neuroma (two-stage approach)
An initial consultation is required. The two-stage approach ensures you only proceed to treatment once the diagnosis is confirmed.
Our two-stage clinical approach
Rather than proceeding straight to treatment, we use a diagnostic-first approach that confirms the neuroma as the source of your pain before any therapeutic intervention.
Ultrasound guided diagnostic injection
A local anaesthetic injection is delivered to the neuroma under ultrasound guidance. If this temporarily relieves your pain, it confirms the neuroma as the source — giving both you and the clinician confidence to proceed.
- Confirms diagnosis before treatment
- Ultrasound guided for precision
- Local anaesthetic only
- Results assessed same day
Ultrasound guided steroid injection
If the diagnostic injection confirms the neuroma as the pain source, a targeted steroid injection is delivered to reduce inflammation and provide longer-term relief.
- Only proceeds after positive diagnostic result
- Targeted anti-inflammatory treatment
- Ultrasound guided delivery
- Evidence-based therapeutic approach
How we assess your condition
Clinical diagnosis
Physical examination and symptom history to understand the location, nature, and duration of your foot pain.
Previous imaging
MRI, ultrasound, or X-ray reports are reviewed to understand any prior findings and inform the assessment.
Point of care ultrasound
On-the-day scanning to visualise the neuroma and guide both the diagnostic and therapeutic injections.
Why confirm before you treat?
Many services proceed directly to treatment without confirming the diagnosis. Our two-stage approach is a safeguard — it ensures you receive the right treatment for the right condition.
The diagnostic injection acts as both a confirmation tool and a patient protection measure. If the anaesthetic does not relieve your symptoms, it tells us the neuroma may not be the primary cause — and we can explore other possibilities rather than treating the wrong condition.
Get a clear answer — and the right treatment
Book a consultation to discuss your foot pain and find out whether our diagnostic-first approach can help.
Book a consultation