Foot Focus Podiatry

Mon - Fri : 08:30 - 5:30   |   reception@footfocuspodiatry.com.au
08 9258 4152 |
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Morton’s Neuroma Treatment Perth:

Find Relief and Get Back on Your Feet

Are you experiencing persistent pain, tingling, or a burning sensation in the ball of your foot? These may be signs of Morton’s Neuroma—an uncomfortable condition that can make even simple activities difficult. Sometimes this can feel like you’re ‘walking on pebbles’. At our clinic, we specialise in diagnosing and treating Morton’s Neuroma with effective, personalised care designed to relieve pain and restore mobility.

Our friendly team is here to help you get back on your feet with confidence and comfort. We have expertise in both surgical and non-surgical treatments, our staff provides personalised care using proven techniques such as orthotics, padding, modifications to footwear injection therapies. We can also refer for ultrasound-guided treatments like radiofrequency ablation and alcohol ablation. All of this is delivered with the aim of increasing moblity and eliminating your pain.

Quick Scroll Options:

 Conservative Treatment Options (Non-Surgical)

  • Footwear Modifications: Choosing well-fitting shoes with wide toe boxes and low heels can significantly reduce pressure.

  • Orthotics and Padding: Custom or over-the-counter orthotics and metatarsal pads help redistribute pressure and cushion the nerve.

  • Injections: Steroid injections can help reduce inflammation. Reza can treat Morton’s Neuroma with other options such as: Sclerosing alcohol injections and radiofrequency ablation. 

  • Manual Physical Therapies
  • Additional Therapies: Cryoneurolysis and manual treatments, and activity modification can also provide symptoms relief.

 Surgical Treatment: A Secondary Option

If you’d like to learn more about mortons neuroma surgery options, our team provides thorough pre- and post-surgery care to ensure the best possible recovery and long-term results. 

 What Makes Us Different?

  • 110 years of combined experience
  • 7 podiatrists with up to 25 years of individual experience
  • Podiatric surgeon with over 24 years of experience for complicated cases
  • Our practice has been operating since 2000 in the same location
  • Work together as a team

  • Foot Focus Podiatry utilises thorough methods and provides both conservative and surgical treatment options, however will first exhaust all conservative options before referring for surgery. 
  • Our podiatrists will thoroughly investigate any prior x-rays, CT scans or other imaging you have had done previously to direct their treatment. 

Foot Focus Podiatry treats the entire body by addressing connections between the foot, leg, pelvis, spine and upper limbs in a biomechanical assessment, rather than simply focussing on local pain and symptoms.

  • Our clinic supports you throughout your foot care journey—from conservative treatment through surgery and rehabilitation if needed
  • Offers:
    • Conservative treatment
    • Surgical consultations - comprehensive pre- and post-surgical care 
    • In-house rehabilitation after surgery 

  • Dr. Reza Naraghi is a highly qualified podiatric surgeon with over 24 years of experience
  • Has written research publications on bunions, Morton's Neuroma, warts and more. To learn more about Dr Reza, please read more
  • Trained in the USA
  • Currently serves as chairman of education for ACPS (Australasian College of Podiatric Surgeons)
  • Understands the importance of exhausting all conservative measures before considering surgery
  • Performs the latest surgical procedures based on up-to-date, evidence-based findings

  • We offer rehabilitation after surgery (if required) to restore better mobility and strength

  • Foot Focus Podiatry is in an accesible location, with renovated facilities and parking close to the clinic. 
  • The clinic is located in a central location, close to Curtin University and just a turn off from Leach Highway. 
  • Foot Focus Podiatry staff provide services for all ages, focus on personalised plans and patient education, while maintaining a friendly and welcoming environment. 

 What Is Morton’s Neuroma?

Morton’s Neuroma is a painful condition that causes a thickening of that nerve’s tissue in between toes–most typically between the fourth and third toes, resulting with nerve compression or irritation. Although it is often described as”a “neuroma,” it is in fact a perineural fibroma not a tumor.

  Symptoms

Common signs of Morton’s Neuroma comprise:

  • Pain or burning sensation starting in the ball of the foot and often radiating to the toes

  • Tingling, numbness, or pins-and needles in the toes of the affected foot

  • The sensation of a pebble or a fold in the shoe

  • The symptoms can worsen when walking, wearing narrow shoes or standing for long time

Diagnosis

The most common method of diagnosis is:

  • Physical Exam: The palpation or compression of the foot can show evidence of common symptoms (e.g. the Mulder’s sign).

  • Imaging: Ultrasounds are highly effective at detecting nerve thickening. MRIs can be used to rule out other causes. Imaging can also help guide best suited treatment.

 Risk Factors

  • Knowing the risk factors can aid you in taking proactive steps towards prevention and prompt treatment. These are the most well-known causes of Morton’s Neuroma:
Footwear Choices
  • Tight shoes and high heels add pressure to the heel of the foot. They also reduce space for the foot’s toes, which can cause nerve irritation.

  • Pointed or narrow toe boxes can also squeeze the forefoot which creates an environment that can lead to nerve problems.

Structural and Biomechanical Factors
  • Foot abnormalities like bunions, high arches, hammertoes or flat feet, alter the foot’s mechanics and can increase nerve compression.

  • Anomaly in foot biomechanics–like excessive pronation or tight muscles in the calf muscles can cause nerve strain and eventually result in Morton’s neuroma with time.

High-Impact Activities & Movement Patterns
  • Stress from repetitive activities–including activities like dancing, running, skiing or climbing can cause irritation to the nerves of the forefoot. This can lead to the development of neuromas.

 Ready to Step Into Comfort?

Don’t let the intense, burning sensations, or the “pebble-in-shoe” feeling hold you back. 

Our podiatrists are here to assist, provide expert advice as well as personalised treatment and the most advanced treatments for Morton’s Neuroma.


  • Winograd procedure- This procedure will be done in hospital setting under local and or general anaesthesia and it is reserved upon failure of the phenolization or if there is significant amount of skin overlapping the nail with soft tissue growth. This procedure involves removing a portion of the skin along with the nail down to the level of the bone. Sutures (stitches) will be applied to close the surgical site. The procedure takes about 10-15 minutes to be performed and your foot will be bandaged. You will be seen within first 5 days and then the sutures will be removed in 10-14 days. Currently this procedure can only be performed by Reza Naraghi (podiatric surgeon).  He will prescribe appropriate pain medication for your post-operative pain management. You will be in open sandal and or post op shoe for 2 weeks. This is not for everyone (especially if you don’t like seeing surgical procedures) but should you be keen to see a step by step process involved in a Winograd then please click here.
  • Zadik Procedure- This procedure is used with permanent total nail removal is desired. The indications for the procedure are significant ingrowing nail on both borders, thickened and painful nails and bony growth under the nailbed. This procedure can be done under local with sedation and or under general anaesthesia at a hospital and or day surgery centre. Sutures will be applied and will be removed 14 days post surgery. You can not get your foot wet and your foot will be in a sterile bandage for 2-3 weeks. You may need pain medication post surgery. On average it will take six weeks for your nail bed area to heal. Following that you can wear most close shoes.
  1. This procedure involves:
  • Removing the nail partially or totally and ablating (destroying) the root using a weak acid called phenol.
  • The phenol cause permanent ablation of the root of the offending nail and prevent ingrown nail recurrence.
  • The procedure is successful 95% of the time. The procedure takes about 10-15 minutes to perform.
  • It can be done in our rooms using local anaesthesia with or without sedation.

2. Post operative care:

  • Soak your toe.
  • Apply a daily dressing.
  • Wear open toe shoes for at least 3-4 days.
  • You may be required to take oral antibiotics

3. Pain management:

  • Most patients do not require pain medication
  • If needed, Panadol is usually sufficient
  • You can return to regular shoes after one week
  • This procedure is not suitable for everyone, especially those uncomfortable with surgical procedure
  • For those interested in seeing a step-by-step process of a partial nail matrixectomy with phenolisation, click here.
  • Winograd procedure- This procedure will be done in hospital setting under local and or general anaesthesia and it is reserved upon failure of the phenolization or if there is significant amount of skin overlapping the nail with soft tissue growth. This procedure involves removing a portion of the skin along with the nail down to the level of the bone. Sutures (stitches) will be applied to close the surgical site. The procedure takes about 10-15 minutes to be performed and your foot will be bandaged. You will be seen within first 5 days and then the sutures will be removed in 10-14 days. Currently this procedure can only be performed by Reza Naraghi (podiatric surgeon).  He will prescribe appropriate pain medication for your post-operative pain management. You will be in open sandal and or post op shoe for 2 weeks. This is not for everyone (especially if you don’t like seeing surgical procedures) but should you be keen to see a step by step process involved in a Winograd then please click here.
  • Zadik Procedure- This procedure is used with permanent total nail removal is desired. The indications for the procedure are significant ingrowing nail on both borders, thickened and painful nails and bony growth under the nailbed. This procedure can be done under local with sedation and or under general anaesthesia at a hospital and or day surgery centre. Sutures will be applied and will be removed 14 days post surgery. You can not get your foot wet and your foot will be in a sterile bandage for 2-3 weeks. You may need pain medication post surgery. On average it will take six weeks for your nail bed area to heal. Following that you can wear most close shoes.

Matrixectomy with phenolization – This procedure involves removing the nail partially or totally and ablating (destroying) the root using a weak acid called phenol. This will cause permanent ablation of the root of the offending nail and prevent ingrown nail recurrence. This procedure is successful 95% of the time. The procedure takes about 10-15 minutes and can be performed in our rooms using local anaesthesia with or without sedation. Post operatively you will be required to soak your toe and apply a daily dressing. Wearing open toe shoes for at least 3-4 days is recommended. You maybe required to take oral antibiotics. Most patients do not require pain medication following the procedure, and if needed Panadol is sufficient for pain management. You can go back to regular shoes after one week.  This is not for everyone (especially if you don’t like seeing surgical procedures) but should you be keen to see a step by step process involved in a partial nail matrixectomy with phenolisation then please click here.