What is Morton's Neuroma?

Morton's Neuroma is a benign thickening (fibrosis) of the common digital plantar nerve, most commonly between the 3rd and 4th metatarsal bones. Nerve compression causes burning pain, numbness, and a sensation of a foreign body in the foot.

It occurs in 30% of women (associated with narrow shoes and high heels). Surgical treatment — neuroma excision — leads to permanent loss of sensation in the toes and does not rule out recurrence.

Symptoms:

  • Burning, shooting pain in the forefoot
  • Numbness and tingling in the 3rd-4th toes
  • Sensation of a “pebble in the shoe”
  • Pain worsening in narrow shoes and with prolonged walking
  • Relief when removing shoes and massaging
  • Positive Mulder's test (click on foot compression)

Risk Factors:

  • Narrow shoes, high heels
  • Transverse flatfoot
  • Hallux valgus
  • Excess weight

Facts about Morton's Neuroma

  • ICD-10: G57.6
  • Prevalence: up to 30% of women
  • Gender: women 8-10 times more often
  • Location: 3-4 intermetatarsal space
  • After excision: loss of sensation

How MIBRAR® treats Morton's Neuroma

01

Ultrasound Diagnosis

Sono Control Arm™ visualizes the neuroma and measures its size. Positive Mulder's test under ultrasound confirms the diagnosis.

02

Obtaining Concentrates

CGF — neurotrophic and anti-inflammatory factors. Lipogems® — stem cells with antifibrotic action for neuroma remodeling.

03

Injection to the Neuroma

Under ultrasound guidance, concentrates are injected around the neuroma — into the intermetatarsal space. Hydrodissection releases the nerve from compression.

04

Remodeling and Recovery

Stem cells suppress fibrosis and remodel the thickened nerve sheath. Neurotrophic factors restore function. The nerve is preserved — toe sensation is not lost.

MIBRAR® Method Advantages

95% of interventions covered

MIBRAR® covers up to 95% of all spinal neurosurgery and orthopedic operations.

No anesthesia or incisions

Outpatient treatment via 0.3-1.5 mm puncture. No general anesthesia or hospitalization.

No age restrictions

Regeneration at any age. Safe for chronic conditions and anesthesia intolerance.

Rapid improvement

Concentrates have analgesic and anti-inflammatory properties. Relief within days.

Multiple zones at once

Simultaneous treatment of multiple discs or joints in one procedure.

Home the same day

No crutches, braces or rehabilitation needed. MRI follow-up at 8-16 weeks.

MIBRAR® Technology

Cyber Navi Hand™ — MIBRAR® navigation system

Cyber Navi Hand™

Intraoperative robotic navigation system. Provides precise access to deep structures with 1 mm and 1 degree accuracy.

Sono Control Arm™ — MIBRAR® ultrasound control

Sono Control Arm™

Device for intervention under sonographic control. Eliminates open surgeries with real-time visual monitoring.

Video about the MIBRAR® Method

Frequently Asked Questions About Morton's Neuroma Treatment

Why preserve the nerve?
Surgical excision of a neuroma removes the nerve entirely, resulting in permanent loss of sensation in 3-4 toes. In 20-30% of patients, stump neuroma develops—a painful scar on the nerve stump. MIBRAR® eliminates fibrosis and compression while preserving the nerve and sensation.
At what neuroma size is MIBRAR® effective?
MIBRAR® is effective for neuromas up to 10-12 mm. For larger neuromas (over 15 mm), results may be less predictable. Each case is evaluated individually by ultrasound.
Can I wear high heels after treatment?
After MIBRAR®, comfortable shoes with a wide toe box and orthopedic insoles are recommended to prevent recurrence. High heels are one of the main risk factors for neuroma development. Moderate heels (up to 4 cm) are acceptable after complete recovery.

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