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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.
Footwear and orthotics are most effective in neuromas that have existed less than four and a half months and are smaller than 4–5 millimetres (0.16–0.20 in). To prevent or treat Morton's neuroma, comfortable shoes that are sufficiently long and have a wide toe box, flat heel, and thick sole are recommended. [3]
Symptoms may be treated by wearing wider shoes to relieve pressure, or the patient can wear padding around the toes. Surgery is also an option, if the pain and discomfort cannot be treated, or for cosmetic reasons. In this procedure, the short metatarsal is typically cut and a piece of bone is grafted between the two ends.
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]
A neuroma (/ nj ʊəˈr oʊ m ə /; plural: neuromata or neuromas) is a growth or tumor of nerve tissue. [1] Neuromas tend to be benign (i.e. not cancerous ); many nerve tumors , including those that are commonly malignant , are nowadays referred to by other terms.
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.
Wearing overly tight shoes, high-heeled shoes, family history, rheumatoid arthritis [2] [3] Diagnostic method: Based on symptoms, X-rays [2] Differential diagnosis: Osteoarthritis, Freiberg's disease, hallux rigidus, Morton's neuroma [4] Treatment: Proper shoes, orthotics, NSAIDs, surgery [2] Frequency ~23% of adults [1
A traumatic neuroma is a type of neuroma which results from trauma to a nerve, usually during a surgical procedure. The most common oral locations are on the tongue and near the mental foramen of the mouth. [2] They are relatively rare on the head and neck. [3]
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