Morton's Neuroma Flashcards
Where is the pain most likely to be located in Morton’s Neuroma?
B
What is Morton’s Neuroma?
A benign neuroma affecting the intermetatarsal plantar nerve. The nerves become scarred and thickened and then caught between the metatarsal bones, most commonly in the third inter-metatarsophalangeal space.
Is Morton’s Neuroma more common in men or women? And what ratio?
More common in women
4:1
What is Mulder’s sign? (An examination in Morton’s neuroma)
One hand tries to hold the neuroma between the finger and thumb. The other hand squeezes the metatarsals together. The pressure will cause pain, paresthesia and tingling. A click may be heard as the neuroma moves between the metatarsal heads
What are some symptoms of Morton’s neuroma?
- Electric shock/Burning like pain with particular shoes.
- Feels like a pebble is in their shoes
What is the management of Morton’s Neuroma?
- Avoid high-heels
- Metatarsal pad
- CKS recommends referral if symptoms persist for > 3 months despite footwear modifications and the use of metatarsal pads
- Orthotists may give the patient a metatarsal dome orthotic
- Other secondary care options include corticosteroid injection and neurectomy of the involved interdigital nerve and neuroma.