Morton's neuroma natural history
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Sara Mohsin, M.D.[2]
Overview
Morton's neuroma can make walking difficult. Nonsurgical treatment does not always improve symptoms.
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:
- Removing the shoe
- Massaging the foot
- Avoiding the aggravating shoes/activities
- With the passage of time, symptoms start to worsen progressively and may persist for several days or even weeks
- Symptoms become even more intense with the enlargement of 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.
Prognosis
Nonsurgical treatment does not always improve symptoms. Surgery to remove the thickened tissue is successful in about 85% of cases. [1]