Morton's neuroma
(Redirected from Morton neuroma)
Editor-In-Chief: Prab R Tumpati, MD
Obesity, Sleep & Internal medicine
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| Morton's neuroma | |
|---|---|
| Synonyms | Intermetatarsal neuroma, interdigital neuroma |
| Pronounce | N/A |
| Specialty | N/A |
| Symptoms | Pain in the ball of the foot, tingling, numbness |
| Complications | Difficulty walking, chronic pain |
| Onset | Typically between ages 40 and 60 |
| Duration | Can be chronic if untreated |
| Types | N/A |
| Causes | Repetitive trauma, ill-fitting shoes |
| Risks | High-heeled shoes, certain sports |
| Diagnosis | Physical examination, Ultrasound, MRI |
| Differential diagnosis | Metatarsalgia, Stress fracture, Arthritis |
| Prevention | Proper footwear, avoiding repetitive stress |
| Treatment | Orthotics, Corticosteroid injection, Surgery |
| Medication | NSAIDs |
| Prognosis | Good with treatment |
| Frequency | Common |
| Deaths | N/A |
Morton's neuroma is a benign (non-cancerous) swelling along a nerve in the foot that carries sensations from the toes. The condition is named after Thomas George Morton, the doctor who first described it in 1876. It is a common condition that can cause significant discomfort, but there are many treatment options available.
Symptoms
The symptoms of Morton's neuroma can vary, but often include:
- Pain in the front of the foot and between the toes
- Tingling and numbness in the toes
- A feeling like there's a pebble in your shoe
Causes
Morton's neuroma is caused by pressure, injury or irritation of a nerve. Factors that can contribute to the development of Morton's neuroma include:
- High-heeled shoes, especially those over two inches tall
- Shoes that are tight or ill-fitting
- Certain sports, such as running or court sports
- Foot deformities, such as bunions, hammer toes, flatfeet or more flexible feet
Diagnosis
To diagnose Morton's neuroma, a doctor will examine the foot and may order imaging tests, such as an X-ray, ultrasound or MRI.
Treatment
Treatment for Morton's neuroma depends on the severity of symptoms. Options include:
- Changing footwear
- Using arch supports or foot pads
- Taking painkillers or anti-inflammatory drugs
- Injections of steroid medication into the area
- In severe cases, surgery may be needed to remove the neuroma or to cut nearby structures to relieve pressure
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Contributors: Kondreddy Naveen, Prab R. Tumpati, MD