Morton's neuroma natural history: Difference between revisions
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==Overview== | ==Overview== | ||
[[Symptoms]] of [[morton's neuroma]] begin gradually and initially occur only occasionally while [[Wear red day|wearing]] the narrow-[[Toe|toed]] [[Shoe insert|shoes]] and [[Performance status|performing]] [[Certain safety factor|certain]] aggravating [[Activities of daily living|activities]]. [[Symptoms]] may go away temporarily by [[Elimination communication|removing]] the [[Shoe insert|shoe]], [[Massage|massaging]] the [[foot]] and [[Avoidance reaction|avoiding]] the aggravating [[Shoe insert|shoes]]/[[Activities of daily living|activities]]. [[Symptoms]] become even more [[Intensity|intense]] & start to worsen progressively with time and may persist for several [[Day spa|days]] or weeks. Ultimately, the temporary changes in the [[nerve]] become permanent if left untreated for prolonged [[periods]] of [[Time constant|time]]. Common [[complications]] of [[morton's neuroma]] include [[Difficulty walking|difficult walking]], [[trouble]] [[Performance status|performing]] [[Activities of daily living|activities]] that [[Puto|put]] [[pressure]] on the [[foot]] ([[Pressor|pressing]] the [[gas]] pedal of an [[Automobile accident|automobile]]), and [[feet]] hurt with [[Wear red day|wearing]] [[Certain safety factor|certain]] types of [[Shoe insert|shoes]] especially high-[[Heel|heels]]. [[Post operative complications|Postoperative complications]] include [[Permanent cosmetics|permanent]] non-[[painful]] [[numbness]], small [[RiskMetrics|risk]] of [[infection]] around [[toes]] [[after surgery]], [[Incision|incisional]] [[Sore|soreness]], [[scarring]], & [[Recurring dream|recurring]] stump [[Neuroma|neuromas]]. Non-[[Surgery|surgical]] [[Treatments|treatment]] is successful in 80% of the [[Case-based reasoning|cases]] but does not always [[Improving agent|improve]] [[symptoms]] and [[surgery]] to remove the [[Thickener|thickened]] [[Tissue (biology)|tissue]] is successful in about 85% of [[Case-based reasoning|cases]]. | |||
==Natural History, Complications and Prognosis== | ==Natural History, Complications and Prognosis== | ||
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**[[Avoidance reaction|Avoiding]] the aggravating [[Shoe insert|shoes]]/[[Activities of daily living|activities]] | **[[Avoidance reaction|Avoiding]] the aggravating [[Shoe insert|shoes]]/[[Activities of daily living|activities]] | ||
*With the [[Time series|passage of time]], [[symptoms]] [[Starter (fermentation)|start]] to worsen progressively and may persist for several [[Day spa|days]] or even weeks | *With the [[Time series|passage of time]], [[symptoms]] [[Starter (fermentation)|start]] to worsen progressively and may persist for several [[Day spa|days]] or even weeks | ||
*[[Symptoms]] become even more intense as the [[neuroma]] enlarges | *[[Symptoms]] become even more [[Intensity|intense]] as the [[neuroma]] enlarges | ||
*Ultimately, the temporary changes in the [[nerve]] become permanent if left untreated for prolonged [[periods]] of [[Time constant|time]] | *Ultimately, the temporary changes in the [[nerve]] become permanent if left untreated for prolonged [[periods]] of [[Time constant|time]] | ||
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* [[Person|Persons]] with this [[foot]] [[condition]] may also have [[trouble]] [[Performance status|performing]] [[Activities of daily living|activities]] that [[Puto|put]] [[pressure]] on the [[foot]], such as [[Pressor|pressing]] the [[gas]] pedal of an [[Automobile accident|automobile]] | * [[Person|Persons]] with this [[foot]] [[condition]] may also have [[trouble]] [[Performance status|performing]] [[Activities of daily living|activities]] that [[Puto|put]] [[pressure]] on the [[foot]], such as [[Pressor|pressing]] the [[gas]] pedal of an [[Automobile accident|automobile]] | ||
* It may hurt to [[Wear red day|wear]] [[Certain safety factor|certain]] types of [[Shoe insert|shoes]], such as high-[[Heel|heels]] | * It may hurt to [[Wear red day|wear]] [[Certain safety factor|certain]] types of [[Shoe insert|shoes]], such as high-[[Heel|heels]] | ||
* [[Fewmets|Few]] of the post surgical complications include: | * [[Fewmets|Few]] of the post [[Surgery|surgical]] [[complications]] include: | ||
** If a portion of the [[Affect|affected]] [[nerve]] is removed during the [[surgery]], [[Permanent makeup|permanent]] [[numbness]] occurs between the [[toes]], but it's not [[painful]] | ** If a portion of the [[Affect|affected]] [[nerve]] is removed during the [[surgery]], [[Permanent makeup|permanent]] [[numbness]] occurs between the [[toes]], but it's not [[painful]] | ||
** There is a small [[RiskMetrics|risk]] of [[infection]] around the [[toes]] [[after surgery]] | ** There is a small [[RiskMetrics|risk]] of [[infection]] around the [[toes]] [[after surgery]] | ||
**[[Incision|Incisional]] [[Sore|soreness]] | |||
**[[Scarring]] | |||
**[[Recurring dream|Recurring]] stump [[Neuroma|neuromas]] | |||
===Prognosis=== | ===Prognosis=== | ||
Non[[Surgery|surgical]] [[Treatments|treatment]] does not always [[Improving agent|improve]] [[symptoms]] | * Non-[[Surgery|surgical]] [[Treatments|treatment]] is successful in 80% of the [[Case-based reasoning|cases]] but does not always [[Improving agent|improve]] [[symptoms]] | ||
* [[Surgery]] to remove the [[Thickener|thickened]] [[Tissue (biology)|tissue]] is successful in about 85% of [[Case-based reasoning|cases]]<ref>http://www.nlm.nih.gov/medlineplus/ency/article/007286.htm</ref> | |||
==References== | ==References== | ||
Latest revision as of 15:32, 21 June 2019
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Morton's neuroma Microchapters |
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Diagnosis |
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Treatment |
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Case Studies |
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Morton's neuroma natural history On the Web |
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American Roentgen Ray Society Images of Morton's neuroma natural history |
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Risk calculators and risk factors for Morton's neuroma natural history |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Sara Mohsin, M.D.[2]
Overview
Symptoms of morton's neuroma begin gradually and initially occur only occasionally while wearing the narrow-toed shoes and performing certain aggravating activities. Symptoms may go away temporarily by removing the shoe, massaging the foot and avoiding the aggravating shoes/activities. Symptoms become even more intense & start to worsen progressively with time and may persist for several days or weeks. Ultimately, the temporary changes in the nerve become permanent if left untreated for prolonged periods of time. Common complications of morton's neuroma include difficult walking, trouble performing activities that put pressure on the foot (pressing the gas pedal of an automobile), and feet hurt with wearing certain types of shoes especially high-heels. Postoperative complications include permanent non-painful numbness, small risk of infection around toes after surgery, incisional soreness, scarring, & recurring stump neuromas. Non-surgical treatment is successful in 80% of the cases but does not always improve symptoms and surgery to remove the thickened tissue is successful in about 85% of cases.
Natural History, Complications and Prognosis
Natural History
- Symptoms of morton's neuroma begin gradually
- Initially, the symptoms occur only occasionally while:
- Wearing the narrow-toed shoes
- Performing certain aggravating activities
- Symptoms may go away temporarily by:
- With the passage of time, symptoms start to worsen progressively and may persist for several days or even weeks
- Symptoms become even more intense as the neuroma enlarges
- Ultimately, the temporary changes in the nerve become permanent if left untreated for prolonged periods of time
Complications
- Morton's neuroma can make walking difficult
- Persons with this foot condition may also have trouble performing activities that put pressure on the foot, such as pressing the gas pedal of an automobile
- It may hurt to wear certain types of shoes, such as high-heels
- Few of the post surgical complications include:
Prognosis
- Non-surgical treatment is successful in 80% of the cases but does not always improve symptoms
- Surgery to remove the thickened tissue is successful in about 85% of cases[1]