Platform shoes. (Photo credit: Wikipedia)Morton’s neuroma is a condition that develops over time. It is characterized by the sensation that there is a lump on the bottom of your foot, or everything is all scrunched up down there. It can make day to day activities painful, especially when pressure is placed on the bottom of the foot near the third and fourth toe. Other sensations may be tingling in the toes, progressively worsening to sharp burning pain. Since the condition develops gradually, the pain is often intermittent, possibly going for long periods of time with no pain at all. The nerve between the toes (usually between the 3rd and 4th toes) becomes irritated, inflamed and thickens.
The exact cause of Morton’s neuroma is not known, but theories suggest pressure, compression and injury as possible factors. Women are affected more than men, especially those who wear poorly padded, ill formed shoes, such as high heels. Runners and other athletes who have hard repetitive action on the balls of their feet are also commonly affected.
If you want to be free of Morton’s neuroma then you should try to avoid:
• High heels
• Shoes with restrictive or poorly formed to boxes
• Shoes that cause abnormal toe positions
Dr. Blaakman can diagnosis Morton’s neuroma by examining, manipulating and attempting to cause the same conditions that may restrict your foot. Tests may be ordered to rule out other possible conditions that show the same type of pain. Dr. Blaakman can develop a treatment plan based on your specific case.
Treatment will depend on your needs and severity. Non-surgical treatment options may include:
• Icing to help reduce swelling
• Shoe inserts to alleviate pressure on the affected area
• Padding
• Change of foot wear to allow toes more room
• Oral NSAIDs such as Ibuprofen
• Physical therapy
• Change or reduction in activity until condition improves
If conservative treatment methods are not successful, surgery may be recommended, but early diagnosis and treatment can possibly avoid this or at least reduce recovery time. If you experience pain that may indicate Morton’s neuroma, call Dr. Blaakman at (877) 941-3338 (FEET) or visit our website. With his expert help and treatment, your feet can last a lifetime.
References:
http://www.mayoclinic.com/health/mortons-neuroma/DS00468/DSECTION=symptoms
http://www.foothealthfacts.org/footankleinfo/mortons-neuroma.htm
Great topic! Lots of patients don't even know what Morton's neuroma is or how serious it can be.
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