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Glossary
Morton's Neuroma
What Causes Morton's Neuroma?
This problem begins when the outer coating of a nerve in your foot thickens. This thickening is caused by irritation that results when two bones repeatedly rub together (often due to ill-fitting shoes or abnormal bone movement). The area between the third and fourth toes is most commonly affected, followed by the area between the second and third toes. Nerve problems resulting from complications of diabetes or alcoholism may also cause neuroma-like symptoms.

Symptoms
Neuroma pain may start gradually, and causes burning, tingling, cramping, or numbness. Symptoms often occur after you have been walking or standing for a period of time. It may fell like you're stepping on a lamp cord. You may need to take your shoe off and rub your foot. In some cases, the pain radiates from the tip of the toes to the ankle

Tests
X-rays may be used to identify a possible neuroma, or to rule out other causes of pain. Ultrasound, which uses sound waves to show internal soft tissue, may also be performed. A diagnostic test, which can also relieve pain, involves blocking the nerve by injecting anesthesia around it. Occasionally, magnetic resonance imaging (MRI) may be performed to reveal cross-sectional images of soft tissue and bone.

 

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Excision of Neuroma

Non-surgical Treatment
After your evaluation, your physician will discuss the most appropriate care for your neuroma. Some specific non-surgical treatments include:

  • Orthotic Devices - Custom shoe inserts adjust the structural support of your foot, helping to prevent nerve irritation.
  • Ultrasound Therapy - Sound waves may help reduce swelling around the neuroma.
  • Medication - Cortisone injections or other medication can relieve pain and swelling in the nerve's outer coating.
  • Shoe Modifications - Pads can cushion and support the parts of your foot that are vulnerable. Roomy, supportive shoes can help prevent irritation.

  • Surgery
    If non-surgical care doe not give sufficient relief, surgery may be necessary to remove or decompress the neuroma. A local anesthetic may be used for this procedure, which can be performed in a physician's office, surgical center or hospital. Following surgery, you may feel numbness in the area where the nerve was removed. Your physician will tell you how soon you can be on your feet, but generally you may return to normal activities within three to six weeks.

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