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Others describe a feeling akin to having a pebble in the shoe or walking on razor blades. Burning, numbness, and paresthesia may also be experienced. [9] The symptoms progress over time, often beginning as a tingling sensation in the ball of the foot. [10] Morton's neuroma lesions have been found using MRI in patients without symptoms. [11]
Shoes with a variety of toe boxes. The toe box is the section of footwear that surrounds the toes on closed-toe shoes. [1] Toe boxes that are too tight can cause injuries and foot deformities, whereas wider toe boxes may be used to treat or prevent common foot conditions such as broken toes, [2] [3] bunions, [4] [5] and Morton's neuroma. [6]
High-heeled, tight, or narrow shoes can make pain worse. This is common in runners, particularly of long distance. The ball of the foot takes a lot of weight over the years and if running on pavement or running in ill-fitting running shoes, the odds of developing Morton's neuroma increase. Changing to shoes that give the toes more room can help.
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Mulder's sign is a physical exam finding associated with Morton's neuroma, which may be elicited while the patient is in the supine position on the examination table. The pain of the neuroma, as well as a click, can be produced by squeezing the two metatarsal heads together with one hand, while concomitantly putting pressure on the interdigital space with the other hand.
Morton's toe is the condition of having a first metatarsal bone that is shorter than the second metatarsal (see diagram). It is a type of brachymetatarsia. [1] This condition is the result of a premature closing of the first metatarsal's growth plate, resulting in a short big toe, giving the second toe the appearance of being long compared to the first toe.
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