Mortons Neuroma

Question 1

What is Mortons neuroma

Answer 1

benign neuroma affecting the intermetatarsal plantar nerve

Question 2

most common space affected with morton’s neuroma

Answer 2

3rd intermetatarsophalangeal space

Question 3

gender split morton’s neuroma

Answer 3

F>M 4:1

Question 4

symptoms of morton’s neuroma

Answer 4

forefoot pain, worse on walking

most likely a shooting/burning pain - may feel as if there is a pebble in the shoe

may be a loss of sensation between the toes

Question 5

what clinical sign may indicate a mortons neuroma

Answer 5

one hand tries to hold the neuroma between the fnger and thumb, the other hand squeezes the metatarsals together. A click may be heard as the neuroma moves between metatarsal heads

Question 6

Diagnosis of mortons neuroma

Answer 6

mostly clinical but ultrasound may be helpful

Question 7

management of morton’s neuroma

Answer 7

avoid high heels
metatarsal pad

> 3 months of Tx failure = metatarsal dome orthotic

corticosteroid injection/neurectomy if consistent orthotic failure