Morton's Neuroma Flashcards

1
Q

Where is the pain most likely to be located in Morton’s Neuroma?

A

B

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2
Q

What is Morton’s Neuroma?

A

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.

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3
Q

Is Morton’s Neuroma more common in men or women? And what ratio?

A

More common in women

4:1

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4
Q

What is Mulder’s sign? (An examination in Morton’s neuroma)

A

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

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5
Q

What are some symptoms of Morton’s neuroma?

A
  • Electric shock/Burning like pain with particular shoes.
  • Feels like a pebble is in their shoes
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6
Q

What is the management of Morton’s Neuroma?

A
  • 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.
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