Morton's Neuroma


Definition:

  • A benign, swollen enlargement of a branch of the nerve that runs across the bottom of the foot and out to the toes.

  • Most common location develops between the third and fourth toes, although it is also common between the second and third toes.

Symptoms:

  • Sharp, fiery pain in the ball of the foot that hurts during weight bearing activities.

  • Feels like you are “stepping on a rock” due to the swelling

Cause:

  • Biomechanical irregularities – i.e. bunions due to the structural changes in the foot that leads to pressure on the nerve and irritating it

  • Worn out or narrow shoes

  • Repetitive stress injuries

  • Women are 5x more likely to develop a neuroma than men

  • May be due to high heel wear.

Diagnosis:

  • Usually based off of history and physical exam

  • X-ray will not reveal the neuroma itself, however it will show if the neuroma has caused bony changes or if the pain is coming from something other than a neuroma.

Treatment and preventative measures:

  • Ice: 15-20 minutes several times per day

  • Wide forefoot shoes that prevents pinching

  • Metatarsal pads [as seen in the image to the right]:

  • Helps to spread the toes at take pressure off of the neuroma.

  • Orthotics

  • Custom made orthotics through Biomechanical Services can be made for you at Gallagher Chiropractic and Sports Medicine.

In Severe Cases:

  • Injections may be deemed necessary.

  • When conservative measures are unsuccessful, surgery to remove the neuroma may be considered. ![endif]--


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