Morton's neuroma


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Morton’s neuroma

A type of perineural fibrosis described by Morton in 1876; it is not a true neuroma.
 
Clinical findings
Sharp, burning pain, commonly between the 3rd and 4th metatarsal heads, which is worse with direct pressure and better with rest.
 
Management
Conservative: metatarsal pads in the insole, loose footwear; tight high heels, ski boots, bike shoes are contraindicated; nerve blocks with a local anaesthetic and steroids. Surgery is recommended if conservative measures fail; if symptoms are limited to one web space, surgical outcome is excellent in up to 90%.
Segen's Medical Dictionary. © 2012 Farlex, Inc. All rights reserved.

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%
McGraw-Hill Concise Dictionary of Modern Medicine. © 2002 by The McGraw-Hill Companies, Inc.

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.
Collins Dictionary of Medicine © Robert M. Youngson 2004, 2005
References in periodicals archive ?
Shapiro, "Endoscopic decompression of the intermetatarsal nerve for Morton's neuroma," Foot and Ankle Clinics, vol.
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. (1) The authors assessed a 3-stage protocol of stepped care, progressing to the next stage if improvement was inadequate after 3 months: Stage I comprised patient education, footwear modifications, and a metatarsal pad placed proximal to the involved nerve; stage II, injection of steroids with local anesthetic or local anesthetic alone; and stage III, surgery.
Chapter Nine, "Nerve Entrapments, and Hand and Forearm Pain," examines carpal tunnel syndrome, cubital tunnel syndrome, deQuervain's tenosynovitis, thoracic outlet syndrome, Morton's Neuroma and how to treat nerve entrapments.
THE condition you describe could well be a Morton's neuroma, which typically occurs in women who have worn fashionable but often tight and uncomfortable shoes for a number of years.
Permanent Residuals: Soft tissue crushing injury resulting in tarsal tunnel syndrome and Morton's neuroma. Plaintiff is permanently not fit to return to work as a seaman.
It could be a number of things but your symptoms are suggestive of a condition called plantar digital neuritis - otherwise known as Morton's neuroma. The pain is caused by a thickening of the nerve that supplies the toes.
Morton's neuroma, a sharp, hot/cold pain usually in the area between the third and fourth toes, is a result of damage to the nerve.
6 Morton's neuroma, which, simply put, is a swollen area in one of the nerves at the base of your toes, most commonly between the third and fourth toes.
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.