• Morton’s Neuroma

Morton’s Neuroma

What is it?

Morton’s NeuromaA Morton’s Neuroma is a thickened nerve that presents between the long bones (metatarsals) of your foot. Although they can occur between any of these long bones, the most common location is between the 3rd and 4th metatarsal heads. Despite being variable between patients, the most common presenting complaints are; burning, tingling and numbness within the area and it is not uncommon to feel referred pain into the toes.

Risk factors:

  • Increased pronation
  • Hypermobility
  • Hypertrophic (enlarged) nerves
  • Poor Footwear
  • Collapsed transverse arch
  • Always on feet.

How is it diagnosed?

A thorough history/clinical examination will generally be sufficient for the diagnosis of a Morton’s Neuroma. Depending on the severity of your symptoms, you may be referred for an ultrasound to confirm the diagnosis/rule out further pathology. Careful diagnosis is required, as there are a number of conditions in the forefoot which present with similar symptoms

Treatment options:

  • Rest/Ice
  • Padding
  • Strapping
  • Footwear advice
  • Metatarsal domes
  • Custom Orthotics
  • Corticosteroid injections
  • Foot mobilisation

Prognosis:

Generally speaking, successful results are often achieved with the correct footwear advice and custom orthotic devices are often prescribed in order to offload the nerve and improve biomechanical risk factors. Cortisone injections & surgery are reserved for extreme cases and are rarely indicated.

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