Morton's Neuroma Treatment in Mumbai | MKFAC

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MORTON'S NEUROMA Mortons neuroma is one cause
of metatarsalgia (pain in the forefoot). It was
described by Thomas Morton in 1876. It is due to
inflammation of a nerve in the foot. This
inflammation is caused by entrapment of the nerve
under the metatarsal heads. Neuroma means
nerve tumour (tumour in this case means simply
enlargement of the nerve and not
malignancy). CAUSE The cause of the nerve
enlargement is repeated injury. The nerve becomes
trapped under the metatarsal heads when standing
and walking. This most often occurs in shoes with
high heels of thin, hard soles, but can occur in
any walking or standing situation. It usually
occurs between the third and fourth toes.
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SYMPTOMS The symptoms of Mortons neuroma are
pain and numbness in a specific spot on the ball
of the foot, sometimes radiating to the toes. At
times the pain may be absent and at other times,
severe enough to cause the individual to stop and
take off the shoe. It may feel like a stone or
marble under the foot, moving around and
sometimes causing a sharp snap to be felt. The
examining physician can sometimes feel this by
pressing on the foot. Testing with pin may reveal
numbness in the toes. DIAGNOSIS Diagnosis may
be difficult, especially at first. Several
examinations may be necessary. The condition
tends to get worse with time. With repeated
injury, the nerve becomes larger and it is more
easily injured.
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TREATMENT Treatment is first to modify the
shoes. A pad in the shoe and an extra-wide, soft
shoe will help. A cortisone injection around the
nerve may help reduce swelling and inflammation.
This may also help localize the
problem. SURGERY Surgery to remove the neuroma
can be done when necessary. It is successful
around 90 of the time. Since a nerve is removed
there is numbness in the toes and in the ball of
the foot afterwards. This is not usually a
problem and becomes less so with time.
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COMPLICATIONS Persisting pain  Persisting
pain may be due to irritation at the cut end of
the nerve a stump neuroma. This may require
additional surgery for those who do not get
relief. Infection  Infection is another
possible complication. The foot is prone to
post-operative swelling and bleeding and this can
lead to infection. An adequate period of rest and
elevation after surgery is needed to prevent this
complication.
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Contact Us
DR PRADEEP MOONOTFRCS(Orth) (UK), MS (Orth)
(Bom), DNB (Orth), Orthopaedic Surgeon Specialist
in Foot, Ankle, Knee Surgery Sports
MedicinePhone No 91 9869465597 Mail Id
drmoonot_at_gmail.com
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