Title: Morton's Neuroma - Physiopedia
Headings: Morton's Neuroma
Morton's Neuroma
Description
Clinically Relevant Anatomy
Mechanism of Injury
Epidemiology
Aetiology
Clinical Presentation
Diagnostic Procedures
Clinical Examination
Histopathology
Imaging
Differential Diagnosis
Management
Physiotherapy Intervention
Medical Intervention
Orthotics and Corticosteroid Injections
Sclerosing Alcohol Injections
Radio Frequency Ablation
Neurectomy
Cryogenic Neuroablation
References

Content: Some people experience shooting pain affecting the contiguous halves of two toes. Others describe a feeling like having a pebble in their shoe or walking on razor blades. Burning, numbness, and paresthesia may also be experienced. The symptoms progress over time, often beginning as a tingling sensation in the ball of the foot (Mulder’s Sign). Morton's neuroma lesions have been found using MRI in patients without symptoms. Diagnostic Procedures
Clinical diagnosis can be up to 99% accurate with typical complaints of plantar webspace pain, paraesthesias and/or numbness aggravated by weight-bearing activities and eased by rest and massage . Clinical Examination
There is often no obvious deformity, erythema, sign of inflammation, or limitation of movement. Direct pressure between the metatarsal heads will replicate the symptoms, as will compression of the forefoot between the finger and thumb so as to compress the transverse arch of the foot. Both legs below the knee should be observed, The plantar aspect of the foot in question should be observed and palpated for callouses, foot position (loaded and unloaded). The patient can also point to the area of pain.