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Mortons neuroma

What is a Mortons neuroma? | Why does a Mortons neuroma occur? | What symptoms might I have? | What treatments are available? | How likely is surgery to be curative? | Surgical excision of a Mortons neuroma (operative stills) | Revision case (operative stills) | After the operation

 

Why does a Mortons neuroma occur?
The nerve runs in a narrow space between the metatarsal heads and is liable to recurrent compression here. The nerve responds by becoming chronically swollen. It therefore has even less space in which to sit and is more liable to further compression and irritation.

What symptoms might I have with a Mortons neuroma?
The main type of symptoms a patient may have with a Mortons neuroma is one of pain. This is usually present just on weight bearing activity (standing or walking). The pain tends to be felt at the base of the toes and often, but not always, radiates down into the toes with a tingling sensation. It is important to remember that a Mortons neuroma is only one cause of pain in the forefoot.

How is a Mortons neuroma diagnosed?
A diagnosis is initially by examination, and finding specific tenderness in one of the webspaces, which is then  confirmed by ultrasound scanning.

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