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What Is A Morton’s Neuroma?

A Morton’s Neuroma is an inflamed/swollen nerve in the foot, which causes a sharp burning sensation/pain in the forefoot area. Treatment for Morton's NeuromaMorton’s Neuroma often includes: Rest; Ice; Better/wider fitting shoes; anti-inflammatory medications; orthotics; and/or surgery.

The pain associated with a Morton’s Neuroma arises when the inflamed nerve is trapped and compressed between the metatarsal bones in the ball of the foot. The most common location for this to occur is between the 3rd and 4th toes, however it can also occur between the 2nd and 3rd toes.

The symptoms of an interdigital neuroma typically present as a sharp, tingling or burning sensation in the forefoot area. The pain tends to extend toward the lesser toes and is often aggravated by tight fitting foot wear. The pain is often relieved by removing the shoe and massaging the foot.

When specific toes are involved, the cause of this problem is often the result the plantar nerve fibres being impinged/compressed between the metatarsal heads and the inter-metatarsal ligament.

Diagnostic Procedures for Interdigital Neuroma

The diagnosis of interdigital neuroma (Morton’s Neuroma) is often made clinically via physical examination and taking in account the patient’s medical history. An Ultrasound or MRI is often used to confirm the diagnosis.

Treatment

Conservative treatment often involves a change in footwear, to a shoe that is wider fitting, so as to limit the compression of the toes and forefoot. Inner-sole and orthotics devices are often used in conjunction with new footwear. These devices are designed to support the foot and increase/maintain the space between the metatarsal bones, thus reducing the pressure on the problematic nerve.

If conservative measures fail, the next step in managing interdigital neuromas often involves injection therapy. Injection therapy can be useful in reducing the symptoms of an interdigital neuroma, however it is only a temporary solution as it doesn’t provide any long-term relief.

If all conservative measures fail to relieve the symptoms associate with an interdigital neuroma the final step is surgical resection of the inflamed neuroma.

Tim

We have HICAPS available in our clinic, which means that our patients can claim from their private health fund straight away

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Shop 2/17-19 East Parade
Sutherland, NSW 2232

Tel: 02 9542 3491
Email: info@sutherlandpodiatry.com.au