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Morton's neuroma is a benign neuroma of an intermetatarsal plantar nerve, most commonly of the second and third intermetatarsal spaces (between the second/third and third/fourth metatarsal heads; the first is of the big toe), which results in the entrapment of the affected nerve.
They are often very painful. Synonyms include scar neuroma, amputation neuroma, or pseudoneuroma. Morton's neuroma (a mononeuropathy of the foot) is another example of the more general usage of the term neuroma. Some prefer the term "Morton's metatarsalgia", thus avoiding the term neuroma and its association with tumors. [6]
One cause of metatarsalgia is Morton's neuroma. When toes are squeezed together too often and for too long, the nerve that runs between the toes can swell and get thicker. This swelling can make it painful when walking on that foot. High-heeled, tight, or narrow shoes can make pain worse. This is common in runners, particularly of long distance.
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.
Hot and cold sensations in the feet; A feeling as though the feet do not have enough padding; Pain while operating automobiles; Pain along the posterior tibial nerve path; Burning sensation on the bottom of foot that radiates upward reaching the knee "Pins and needles"-type feeling and increased sensation on the feet; A positive Tinel's sign [1]
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]
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Morton's neuroma is a tightening of the tissues surrounding the nerves leading into your toes. [14] This is caused by wearing shoes with a narrow toe bed, like high heels, or in high-impact activities like running or jogging. Treatments can include switching to a shoe with a wider toe bed, the use of inserts in your shoe, cortisol shots, or in ...
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