Subjective: Patient presents with complaints of metatarsalgia, forefoot pain, burning, tingling, numbness, and or shooting pain radiating to the toes, consistent with symptoms of Morton's neuroma.  Pain is localized to the interdigital space, most commonly between the third and fourth metatarsal heads.  Patient reports the pain is exacerbated by weight-bearing activities, particularly when wearing tight shoes or high heels, and relieved by rest and removing footwear.  Patient denies any recent trauma to the foot.

Objective: Physical exam reveals tenderness to palpation in the affected interdigital space, specifically eliciting a Mulder's click.  No edema, erythema, or skin lesions are noted.  Range of motion of the toes and ankle is within normal limits.  Neurological examination demonstrates paresthesia in the affected web space.  Negative Tinel's sign at the ankle.  Gait analysis reveals antalgic gait favoring the affected foot.

Assessment: Based on the patient's symptoms, physical exam findings, and absence of other pathology, the diagnosis of Morton's neuroma is made.  Differential diagnoses considered include stress fracture, intermetatarsal bursitis, and plantar plate tear, which were ruled out based on clinical presentation and examination.

Plan: Conservative management is recommended initially.  Patient education provided on activity modification, including avoiding high-heeled shoes and tight footwear.  Orthotic devices with metatarsal pads are prescribed to alleviate pressure on the affected nerve.  Over-the-counter NSAIDs are recommended for pain management.  Referral to podiatry for consideration of corticosteroid injections is planned if symptoms persist.  Surgical intervention, such as neuroma excision or neurectomy, will be considered if conservative treatments fail to provide adequate relief.  Follow-up appointment scheduled in two weeks to assess response to treatment and discuss further management options.  ICD-10 code G57.6 (Morton's neuroma) is assigned.