high-heel-injuries | PhillyVoiceMorton's neuroma by Drug.com. Last updated on May 4, 2020. Health Guide What is Morton's Neuroma? A Morton's neuroma is a benign (non-cancer) swelling along a nerve in the foot that carries sensations of the toes. The reason the nerve begins to swell is unknown. But once swelling begins, the bones and nearby ligaments press the nerve, causing more irritation and inflammation. This causes burning pain, numbness, tingling and other abnormal sensations in the toes. Morton's neuroma is also called interdigital neuroma, intermetatarsal neuroma or standing neuroma. Morton's neuroma usually develops between the third and fourth fingers. Less commonly, it develops between the second and third fingers. Other places are weird. It is also rare for a Morton neuroma to develop on both feet at the same time. The condition is much more common in women than in men, probably as a result of wearing high heel shoes, of narrow heel. This shoe style tends to change the bones of the feet in an abnormal position, which increases the risk of forming a neuroma. Overweight also increases the risk of a Morton neuroma. Symptoms Morton's neuroma usually causes pain, numbness or tingling at the base of the third, fourth or second fingers. Pain can also extend from the ball of the foot to the ends of the toes. In some cases, there is also the feeling of a lump, a sock fold or a "hot stone" between the toes. Typically, Morton's neuroma pain is temporarily relieved by removing his shoes, flexing his fingers and rubbing his feet. Symptoms may be aggravated for prolonged periods or using high heels or shoes with a narrow finger box. Diagnosis Your doctor will suspect that you have a Morton neuroma based on the nature and location of the foot pain. He or she can ask questions about his shoes — what kind of shoes he usually wears and whether these shoes have narrow fingers or high heels. To rule out other causes of foot pain, your doctor may ask questions about your medical history, especially any history of arthritis, nervous and muscle problems, or pre-foot or leg injury. To confirm the diagnosis, your doctor will examine your feet. He or she will seek areas of tenderness, swelling, calluses, numbness, muscle weakness and limited movement. To check the neuroma of a Morton, your doctor will tighten your foot's sides. The tightening should compress the neuroma and trigger the typical pain. In some cases, your doctor will find numbness in the area of the webbeds between the affected fingers. Pain in two or more places at one foot, like between the second and third fingers and the third and fourth fingers, most likely indicates that the joints of the toes are inflated instead of Morton's neuroma. Based on the physical exam, your doctor can usually diagnose a Morton's neuroma without further tests. A standing X-ray may be ordered to ensure that there is no stress fracture, but it will not show the actual neuroma. If the diagnosis is in doubt, your doctor may request a magnetic resonance (MRI) of the foot. Expected durationA Morton's neuroma will not disappear alone. Usually, the symptoms will come and go, depending on the type of shoes you've been wearing and how long you spend on your feet. Sometimes the symptoms will disappear completely. Prevention It is not always possible to prevent the neuroma of a Morton. However, you can probably reduce your risk using comfortable shoes that have low heels, a lot of foot space and a good arch support. Treatment If your Morton's neuroma is painful, your doctor will usually begin treatment with conservative therapies, including: Inflamed or injured nerves may take months to improve, even after the underlying problem has been corrected. If your pain continues despite several months of conservative treatment, your doctor may recommend surgery to remove the neuroma or expand the space through which the affected nerve travels. These types of surgery are often done under local anesthesia. If your doctor removes a portion of the affected nerve along with the neuroma, you can develop a permanent numbness between your toes. When Calling a Professional Make an Appointment to See a Health Professional If You Have Symptoms of a Morton Neuroma That Don't Improve When You Use Comfortable and Wide Shoes. Prognosis More than 80% of people with Morton neuroma will respond to conservative treatment. For the minority of people who have persistent and disabled symptoms, surgery may be an option. External resources National Institute of Arthritis and Musculoskeletal and Skin Diseases National Institutes of Health American Podiatric Medical Association (APMA) American Orthopaedic Foot & Ankle Society American Academy of Podiatric Sports Medicine American College of Foot and Ankle Surgeons Learn moreAlways consult your healthcare provider to ensure that the information shown on this page applies to your personal circumstances. Drugs.com Mobile Apps The easiest way to find information about drugs, identify pills, check interactions and set up your own personal drug records. Available for Android and iOS devices. SupportAboutTerms > Privacy to Drug.com newsletters for latest drug news, new drug approvals, alerts and updates. Drug.com provides accurate and independent information about more than 24,000 prescription drugs, free-sale medicines and natural products. This material is provided only for educational purposes and is not intended for medical advice, diagnosis or treatment. Data sources include IBM Watson Micromedex (updated 3 Mar 2021), Cerner MultumTM (updated 1 Mar 2021), ASHP (updated 3 Mar 2021) and others. Ad options
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