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    Assignment # 01: Morton's Neuroma

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    zoha hassan
    The document discusses Morton's Neuroma, a painful foot condition caused by compression of a nerve between the third and fourth metatarsal bones, which can be brought on by factors like tight shoes. Symptoms include pain, numbness, or feeling of a pebble in the shoe. Treatment options presented are changes in footwear, padding, injections, surgery to decompress the nerve or remove it, and physical therapy.

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    Assignment # 01: Morton's Neuroma

    Uploaded by

    zoha hassan
    54 views5 pages
    The document discusses Morton's Neuroma, a painful foot condition caused by compression of a nerve between the third and fourth metatarsal bones, which can be brought on by factors like tight shoes. Symptoms include pain, numbness, or feeling of a pebble in the shoe. Treatment options presented are changes in footwear, padding, injections, surgery to decompress the nerve or remove it, and physical therapy.

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    The document discusses Morton's Neuroma, a painful foot condition caused by compression of a nerve between the third and fourth metatarsal bones, which can be brought on by factors like tight shoes. Symptoms include pain, numbness, or feeling of a pebble in the shoe. Treatment options presented are changes in footwear, padding, injections, surgery to decompress the nerve or remove it, and physical therapy.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    54 views5 pages

    Assignment # 01: Morton's Neuroma

    Uploaded by

    zoha hassan
    The document discusses Morton's Neuroma, a painful foot condition caused by compression of a nerve between the third and fourth metatarsal bones, which can be brought on by factors like tight shoes. Symptoms include pain, numbness, or feeling of a pebble in the shoe. Treatment options presented are changes in footwear, padding, injections, surgery to decompress the nerve or remove it, and physical therapy.

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    © All Rights Reserved
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    Assignment # 01

    Foot Pathology

    Morton’s Neuroma
    Submitted to : Sir Waqar Ahmed.
    Submitted by : Oshwah Rjaput.
    Morton’s Neuroma
    ( Morton neuroma, Morton's metatarsalgia,
    Intermetatarsal neuroma,
    Intermetatarsal space neuroma)

    Definition:
    A painful condition that affects the ball of the foot due to a swollen
    inflamed nerve caused by chronic compression of a branch of planter
    nerve between the base of metatarsals commonly between the third and
    fourth toe.

    Etiology:
    The exact cause is still unknown, but wearing high heels and tight
    shoes. Injuries to the foot can also be a factor in developing the
    condition by changing your foot biomechanics. Poor foot arch control
    leading to flat feet or foot overpronation does make you
    biomechanically susceptible to a neuroma.

    Muscles Involvement:
    In the foot, the adductor hallucis muscle, transverse portion (runs
    under the ball of the foot) supports the piece of the tripod which runs
    from the big toe to the little toe.
    Sign and Symptoms:
    1- As it is not a true tumor so there is no outward sign can be seen.
    2- Inflammation and numbness.
    3- May feel as if you are standing on a pebble under your shoe or in
    your sock.

    Diagnosis:
    During examination you will feel a mass or tender spot on the ball of foot.
    There may also be a feeling of clicking sound.

    Imaging tests
    1- X-rays
    2- Ultra sound.
    3- Magnetic resonance imaging. (MRI)

    Conservative Treatment:
    1- Changes in footwear.
    2- Painkillers.
    3- Taping.
    4- Steroid Injections.
    5- Physiotherapy.
    6- NSAID.
    Surgical Treatment:
     Decompression surgery. In some cases, surgeons can relieve
    the pressure on the nerve by cutting nearby structures, such as
    the ligament that binds together some of the bones in the front of
    the foot.
     Removal of the nerve. Surgical removal of the growth may be
    necessary if other treatments fail to provide pain relief. Although
    surgery is usually successful, the procedure can result in
    permanent numbness in the affected toes.

    Orthotic Treatment:
    Traditional orthotic arch supports along with a small foam or fabric
    pad positioned under the space between the two affected
    metatarsals. This pad helps to splay the metatarsal bones and
    create more space for the nerve so as to relieve pressure and
    irritation. It may give mild uncomfortable sensations, such as the
    feeling of having an awkward object under one's foot. 
    References:
    1- ICRC lower limb orthotic manual.
    2- https://www.mayoclinic.org/diseases-conditions/mortons-neuroma/symptoms-causes/syc-20351935
    3- https://www.medicalnewstoday.com/articles/179773#treatment
    4- https://comstockpt.com/2015/12/14/mortons-neuroma-why-happen-muscles-sync/
    5- https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3390214/

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