Morton's Neuroma

Overview

Morton's neuroma is a common condition that affects the ball of your foot, typically occurring between the third and fourth toes. It is characterized by a thickening of the tissue around one of the nerves leading to the toes, causing a sharp, burning pain in the affected area. This condition can significantly impact daily activities, making it difficult to walk or even stand.

Types of Morton's Neuroma

Morton's neuroma is a type of compressive neuropathy, which occurs when the nerve is compressed or irritated by surrounding tissues. There are two main types of Morton's neuroma:

1. Intermetatarsal neuroma: This is the most common type, occurring between the third and fourth toes.
2. Plantar digital neuroma: This type occurs between the toes and the plantar surface of the foot.

Causes of Morton's Neuroma

The exact cause of Morton's neuroma is not fully understood, but several factors contribute to its development:

1. Footwear: Wearing high-heeled or tight shoes can cause compression of the nerve, leading to thickening and irritation.
2. Biomechanical issues: Abnormalities in the way the foot functions, such as overpronation or supination, can put pressure on the nerve.
3. Trauma: Injury to the foot or toe can cause nerve compression and irritation.
4. Genetics: Some people may be more prone to developing Morton's neuroma due to their genetic makeup.

Risk Factors of Morton's Neuroma

Several factors increase the risk of developing Morton's neuroma:

1. Age: The condition is more common in women over 50 years old.
2. Footwear: Wearing high-heeled shoes regularly can increase the risk.
3. Biomechanical issues: Abnormalities in foot function can contribute to the development of Morton's neuroma.
4. Family history: People with a family history of Morton's neuroma may be more likely to develop it.

Symptoms of Morton's Neuroma

Preventions of Morton's Neuroma

While there is no surefire way to prevent Morton's neuroma, several strategies can help reduce the risk:

1. Wear comfortable shoes: Avoid high-heeled shoes and opt for comfortable, well-fitting shoes with wide toe boxes.
2. Stretch regularly: Regular stretching exercises can help improve foot function and reduce pressure on the nerve.
3. Maintain a healthy weight: Excess weight can put additional pressure on the feet, increasing the risk of developing Morton's neuroma.

Diagnosis of Morton's Neuroma

Diagnosing Morton's neuroma typically involves a combination of physical examination, medical history, and imaging tests:

1. Physical examination: A healthcare professional will examine the foot and ask about symptoms to determine if they are consistent with Morton's neuroma.
2. Medical history: The healthcare provider will ask about medical history, including any previous injuries or conditions that may contribute to the development of Morton's neuroma.
3. Imaging tests: Imaging tests such as X-rays, MRI scans, or ultrasound may be used to confirm the diagnosis and rule out other conditions.

Treatment for Morton's Neuroma

Treatment for Morton's neuroma typically involves a combination of conservative and surgical approaches:

1. Conservative treatment: Non-surgical treatments include:
   • Corticosteroid injections
   • Physical therapy
   • Orthotics
   • Medications (e.g., pain relievers)
2. Surgical treatment: Surgery may be necessary in cases where conservative treatment is unsuccessful:
   • Release of compressed nerve
   • Removal of affected tissue
   • Reconstruction of damaged tissue.

When to seek medical attention ?

If you experience any symptoms consistent with Morton's neuroma, it is essential to consult a healthcare professional for proper evaluation and treatment. You should seek medical attention if you experience:

1. Severe pain: Intense pain that interferes with daily activities.
2. Limited mobility: Difficulty walking or standing due to stiffness or limited mobility in the affected toes.
3. Numbness or tingling sensations: Persistent numbness or tingling sensations in the affected toes.