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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]
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.
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
Shoes, while they offer protection, can limit the flexibility, strength, and mobility of the foot and can lead to higher incidences of flexible flat foot, bunions, hammer toe, and Morton's neuroma. Walking and running barefoot results in a more natural gait, allowing for a more rocking motion of the foot, eliminating the hard heel strike and ...
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.
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