Morton's Neuroma Treatment

Morton neuroma is the result of an enlarged nerve in the foot that usually occurs in, near or between the third and fourth toes. With every step a person takes, pressure and stress is put on this area in the foot. Sometimes irritation to the nerves may occur and localized pain may result. The resulting condition is called Morton's neuroma.

  1. Diagnosis

    • It is important to rule out a fracture, broken bone, rheumatoid arthritis, osteoarthritis or tumor in the foot so that the correct treatment may commence. An MRI is helpful in determining the size of the neuroma and the course of treatment.

    Arch Support

    • If the patient has flat feet, arch supports are helpful. Padding and taping of the inflamed area also brings relief.

    Shoes

    • Patients with Morton's neuroma are instructed to wear wide-toe shoes. Women are advised to forgo high heels and narrow-fitted shoes.

    Injections

    • Often injections of a local anesthetic is administered to relieve pain, and an injection of corticosteroid is frequently used to lessen the inflammation. Sometimes alcohol sclerosing injections are used to alleviate the pain.

    Surgery

    • If conventional methods are not helpful, surgery is the next option. Two approaches are used: the dorsal method involves an incision on the top of the foot and the plantar approach involves an incision on the sole.

    Complications

    • Recovery from either type of surgery must be monitored to prevent nerve damage, hematoma or infection. Sometimes, recurrence is a possibility.

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References

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