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]--
