Surgeon-Led · Preservation-Focused
The nerve is only
part of the problem.
Burning pain, numbness, or the feeling of a pebble
underfoot are signals — not the full diagnosis. Dr.
Tagge’s PRISM™ restoration philosophy looks beyond
the nerve to the environment causing it to fail.
Double board certified — minimally invasive forefoot surgery
PRISM™ — structured restoration framework
Remote evaluations — out-of-area patients welcome
A different philosophy of care
The PRISM™ restoration framework
Rather than treating chronic nerve pain as an isolated problem, PRISM™ evaluates why the nerve became overloaded, the surrounding structural environment, and whether it can be restored before destructive procedures are considered.
Step 01
Root
Identify why the nerve became overloaded.
Compression, crowding, instability, repetitive stress, and altered forefoot mechanics are all evaluated as part of the underlying cause — not just the symptom.
Step 02
Restore
Reduce irritation and improve the surrounding environment.
Preservation-focused decompression, mechanical offloading, and minimally invasive correction are used when appropriate, with restoration planned around the individual.
Step 03
Heal
Support long-term recovery.
Structured healing strategies are focused on reducing irritation, restoring function, and improving long-term stability — not just short-term symptom relief.
The core problem
Why standard neuroma treatment often fails
Many treatments focus primarily on calming the nerve
itself — but the nerve rarely operates in isolation.
“Removing the nerve may reduce symptoms — but not the environment that caused them. Persistent compression, overload, instability, and crowding can continue long after temporary relief fades.”
Where many patients start
If this sounds familiar, you’re not alone
Most patients arrive at the institute after trying conventional
treatment — sometimes more than once — without lasting relief.
Already tried
Cortisone injections
Custom orthotics
Shoe changes & wider toe boxes
Activity modification
Prior neuroma surgery
Still experiencing
Burning or tingling in the toes
Recurrent, unpredictable pain
Walking intolerance
Pressure between the toes
Symptoms despite “normal” imaging
Understanding the condition
What is Morton’s neuroma?
A thickening of tissue surrounding a nerve in the forefoot, most commonly between the third and fourth toes — developing when the nerve becomes compressed or irritated over time.
- Burning pain in the ball of the foot
- Tingling or numbness in the toes
- Sharp, shooting pain while walking
- A sensation of standing on a pebble or folded sock
- Increased discomfort in tight shoes
FAQ’s
Frequently Asked Questions
Clear evaluation. Defined path forward. We map your specific situation and identify the best approach before any decision is made.
Clear evaluation. Defined path forward. We map your specific situation and identify the best approach before any decision is made.
Clear evaluation. Defined path forward. We map your specific situation and identify the best approach before any decision is made.
Clear evaluation. Defined path forward. We map your specific situation and identify the best approach before any decision is made.
Clear evaluation. Defined path forward. We map your specific situation and identify the best approach before any decision is made.
Clear evaluation. Defined path forward. We map your specific situation and identify the best approach before any decision is made.
Clear evaluation. Defined path forward. We map your specific situation and identify the best approach before any decision is made.
Clear evaluation. Defined path forward. We map your specific situation and identify the best approach before any decision is made.
Clear evaluation. Defined path forward. We map your specific situation and identify the best approach before any decision is made.
Clear evaluation. Defined path forward. We map your specific situation and identify the best approach before any decision is made.
Clear evaluation. Defined path forward. We map your specific situation and identify the best approach before any decision is made.