Morton's neuroma overview: Difference between revisions
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==Historical Perspective== | ==Historical Perspective== | ||
The condition was first correctly described by a chiropodist named Durlacher. | The condition was first correctly described by a chiropodist named Durlacher. | ||
==Causes== | ==Causes== | ||
The exact cause is unknown. | The exact cause is unknown. | ||
==Differentiating Morton's Neuroma from other diseases== | ==Differentiating Morton's Neuroma from other diseases== | ||
Morton's neuroma must be differentiated from other causes of pain in the forefoot. | Morton's neuroma must be differentiated from other causes of pain in the forefoot. | ||
==Epidemiology and Demographics== | ==Epidemiology and Demographics== | ||
Morton neuroma is more common in women than in men. | Morton neuroma is more common in women than in men. | ||
==Risk Factors== | ==Risk Factors== | ||
Risk factors for Morton's neuroma include abnormal positioning of toes, flat feet, forefoot problems, high foot arches, tight shoes and high heels. | Risk factors for Morton's neuroma include abnormal positioning of toes, flat feet, forefoot problems, high foot arches, tight shoes and high heels. | ||
==Natural History, Complications and Prognosis== | ==Natural History, Complications and Prognosis== | ||
Morton's neuroma can make walking difficult. Nonsurgical treatment does not always improve symptoms. | Morton's neuroma can make walking difficult. Nonsurgical treatment does not always improve symptoms. | ||
==History and Symptoms== | ==History and Symptoms== | ||
Symptoms include: pain on weight bearing, frequently after only a short time; the pain is felt as a shooting pain affecting the contiguous halves of two toes. Burning, [[numbness]] and [[parasthesia]] may also be experienced. | Symptoms include: pain on weight bearing, frequently after only a short time; the pain is felt as a shooting pain affecting the contiguous halves of two toes. Burning, [[numbness]] and [[parasthesia]] may also be experienced. | ||
==Physical Examination== | ==Physical Examination== | ||
Direct pressure between the metatarsal heads will replicate the symptoms, as will compression of the forefoot between the finger and thumb so as to compress the transverse arch of the foot. | Direct pressure between the metatarsal heads will replicate the symptoms, as will compression of the forefoot between the finger and thumb so as to compress the transverse arch of the foot. | ||
==Laboratory Findings== | |||
Blood tests are done to check for inflammation-related conditions, including certain forms of arthritis. | |||
==X-Ray== | ==X-Ray== | ||
==Medical Therapy== | ==Medical Therapy== | ||
Revision as of 15:08, 2 September 2015
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Overview
Morton's neuroma is a benign neuroma of the interdigital plantar nerve. It is characterised by numbness and pain, relieved by removing footwear. Although it is labeled a "neuroma", many sources do not consider it a true tumor, but rather a thickening of existing tissue.
Historical Perspective
The condition was first correctly described by a chiropodist named Durlacher.
Causes
The exact cause is unknown.
Differentiating Morton's Neuroma from other diseases
Morton's neuroma must be differentiated from other causes of pain in the forefoot.
Epidemiology and Demographics
Morton neuroma is more common in women than in men.
Risk Factors
Risk factors for Morton's neuroma include abnormal positioning of toes, flat feet, forefoot problems, high foot arches, tight shoes and high heels.
Natural History, Complications and Prognosis
Morton's neuroma can make walking difficult. Nonsurgical treatment does not always improve symptoms.
History and Symptoms
Symptoms include: pain on weight bearing, frequently after only a short time; the pain is felt as a shooting pain affecting the contiguous halves of two toes. Burning, numbness and parasthesia may also be experienced.
Physical Examination
Direct pressure between the metatarsal heads will replicate the symptoms, as will compression of the forefoot between the finger and thumb so as to compress the transverse arch of the foot.
Laboratory Findings
Blood tests are done to check for inflammation-related conditions, including certain forms of arthritis.