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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]
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
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.
Derek Roach is the owner of Flow Feet Orthopedic Shoes and has been working in the foot health industry for over 10 years. Jerick Sobie is a board certified pedorthist and co-owner of Lucky Feet Shoes
Among the issues associated with Morton's toe is that the weight distribution causes the front of the foot to widen as the weight shifts from the first shortened toe to the others. Regular shoes will often cause metatarsalgia and neuromas as the shoe pushes together the toes hence the case of Morton's neuroma. Wide shoes are recommended.
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.
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