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MORTONS NEUROMA

Morton’s intermetatarsal neuroma is a compression neuropathy of the common digital nerve which is most commonly seen in the third intermetatarsal space, but it also can be seen in other intermetatarsal spaces. A neuroma may occur in more than one intermetatarsal space and may be bilateral which are more prevalent in adults beginning in the third decade of life, and are more common in females than males. However, neuroma's of the forefoot can appear to be the same as a metatarsal contusion, inflamation of the joint, and also plantar plate injury. A detail examination is needed to assess all causes of forefoot pain.

Symptoms

 

The patient may complain of numbness and tingling, and/or radiating, burning pain. The pain often is localized at the plantar aspect of the respective intermetatarsal space, but it can radiate into the adjacent toes. Patients frequently describe a “lump” on the bottom of their foot or a feeling of walking on a rolled-up or wrinkled sock. The symptoms may increase with weightbearing and activity. Closed-toed shoes and especially tight-fitting footwear can increase the symptoms.

Morton's Neuroma Treatments

 

Most foot conditions can be treated without the need of surgery; however,when surgery is needed choose a Double Board Certified in Foot and Ankle Surgery. Know what and when a treatment is necessary or recommened. Here are the foot and ankle clinic the patient-physician relationship is built with integrity and experience.

Symptoms

 

The patient may complain of numbness and tingling, and/or radiating, burning pain. The pain often is localized at the plantar aspect of the respective intermetatarsal space, but it can radiate into the adjacent toes. Patients frequently describe a “lump” on the bottom of their foot or a feeling of walking on a rolled-up or wrinkled sock. The symptoms may increase with weightbearing and activity. Closed-toed shoes and especially tight-fitting footwear can increase the symptoms.

Conservative care

 

Nonsurgical care of Morton’s neuroma is centered on alleviating pressure and irritation of the nerve. Initially, patients should wear shoes that have a wide toe box to allow the metatarsals to spread out. High-heel shoes should be avoided. Metatarsal pads also can be beneficial. These pads, placed proximal to the metatarsal heads, help alleviate pressure on the nerve and assist in spreading out the metatarsals. Custom Orthotic will also reduce compression and forefoot irritation of the nerve

 

Injection Therapy

 

There are more then just "cortisone" injection for morton neuromas. Most steriod injections work; however, limited amount is recommended. There are other and also successful options when injection therapy is started. We use alcohol sclerosis injections. These injections are neurotherapeutic procedures that involves injection of alcohol solution near a target nerve tissue in order to eliminate or diminish the ability of the nerve to transmit pain signals

Decompression of the Nerve

 

Dr Martins is one of the few Double Boarded Foot and Ankle Surgeon specializing in Decompression of the Morton's nerve. This procedure DOES NOT remove the nerve or damage soft tissue.

 

  • Minimally invasive

  • Outpatient procedure

  • Full Weightbearing after surgery and in running shoe in 3 days

  • Return to activity and work faster

  • Play below to understand the benefits

Conditions