Morton's neuroma


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Morton's neuroma

Orthopedics A type of perineural fibrosis, which is not a true neuroma Clinical Sharp, burning pain, commonly between the 3rd and 4th metatarsal heads, worse with pressure, better with rest Management Conservative–metatarsal pads in insole, loose footwear–ie, tight high heels, ski boots, bike shoes ganz verboten; blocks with a local anesthetic and steroids; surgery if conservative measures fail; if Sx are limited to one web space, surgical outcome is excellent in up to 90%

Morton's neuroma

A condition featuring painful enlargement of interdigital nerves between the third and fourth metatarsal heads. Also called interdigital neuroma. Treatment is by change of footwear, steroid injections or surgical excision of the affected nerve.

Morton's neuroma

; plantar digital neuroma; plantar digital neuritis second or third proper plantar digital nerve entrapment neuropathy secondary to excess local plantar pressure at toe off (e.g. wearing high heels, partially compensated forefoot varus/supinatus or valgus, compensated rearfoot varus, mobile pes cavus; see Table 1); presents with localized spasmodic discomfort and pain, and progresses to severe, lancinating, distally radiating pain of intermetatarsal/web space (e.g. sensation of walking on a lump or pebble) together with paraesthesia/numbness of adjacent toes, especially in overpronating forefoot; symptoms are caused by compression of affected plantar digital nerve (against overlying deep transverse intermetatarsal ligament) and ischaemia (compression of intermetatarsal artery by distal protrusion of intermetatarsal bursa at toe off); affected nerve area develops a fusiform swelling and may require surgical excision (neurectomy)
Table 1: Presentations of nerve trunk irritation in the foot
Neuroma/lesionInvolved nerveLocation
Proximal tarsal tunnel syndromeBranches of the posterior tibial nerveMedial ankle area
Distal tarsal tunnel syndrome Jogger's footMedial plantar nerveBetween navicular tuberosity and belly of abductor hallucis
Distal tarsal tunnel syndrome Baxter's neuritisLateral plantar nerveBetween bellies of abductor hallucis, quadratus plantae and abductor digiti quinti minimi
Joplin's neuromaMedial plantar nerve properMedial area of first metatarsal head
Houser's neuromaFirst plantar intermetatarsal nerveBetween 1 and 2 metatarsals
Heuter's neuromaSecond plantar intermetatarsal nerveBetween 2 and 3 metatarsals
Morton's neuromaThird plantar intermetatarsal nerveBetween 3 and 4 metatarsals
Islen's neuromaFourth plantar intermetatarsal nerveBetween 4 and 5 metatarsals
References in periodicals archive ?
Diagnosis or location n (%) Heel pain (Achilles tendon) 19 (46) Plantar fasciitis 13 (31) Painful arches (interior or exterior) 11 (27) Metatarsalgia 10 (24) Big toe pain 7(17) Pain in other toes 6(15) Ankle pain 3 (7) Anterior tarsus pain 2 (5) Painful fat pad 1 (2) Morton's neuroma 1 (2) * Some patients had multiple diagnoses, therefore, total of percentages exceeds 100.
The Morton's neuroma is much better, but it still feels like a wad in the bottom of my right foot.
A prospective case series enrolled 115 subjects out of 340 consecutive patients who presented to a private orthopedic clinic with a diagnosis of Morton's neuroma.
Endless recounting of other varied theories and interventions of what we now habitually call Morton's neuroma in Podiatry could continue, but it may now be appropriate to come forward to the current time and review our collective medical understanding of causation, diagnosis and a few currently believed to be appropriate interventions.
com)-- The Center for Morton's neuroma opened early this year to offer comprehensive and specialized treatment to patients suffering from Morton's neuroma.
The product is intended to help patients suffering from pain as a result of conditions such as Morton's neuroma affecting the ball of the foot, amputations or other nerve damage in the foot.
If you're experiencing burning, unbearable pain in the balls of your feet on high heels, it is likely you have a condition called Morton's Neuroma - an enlargement of the nerve between the toes.
Common causes of foot pain include arthritic changes, plantar fasciitis, stress fractures, and Morton's neuroma, while less common causes may include painful accessory bones, complex regional pain syndrome (CRPS), Baxter's nerve entrapment, and tarsal tunnel syndrome.
The role of MRI and ultrasound imaging in Morton's neuroma and the effect of size of lesion on symptoms.
They discovered the Ospreys sensation had been struggling with a common but benign condition known as Morton's Neuroma - a thickening of the tissue that surrounds nerves leading up to the toes - and that this was being compounded by the sheer width of his size 14 feet.
A MORTON'S NEUROMA is an inflamed nerve which leads to pain in the sole of the foot between the third and fourth toes.