Friday, June 12, 2009

Morton's Syndrome/ Morton's Neuroma


What is Morton's Neuroma?
Nerves that transmit messages to the brain from the toes pass between the metatarsal bones (long ones behind the toes). If the arch in your foot is weak then this can cause the metatarsal bones to pinch the nerve causing it to become inflamed. This is most likely to happen between the 3rd and 4th bones causing a pain or numb sensation on the inside of the two toes that the nerve comes from.
Sometimes it is caused by a neuroma or benign tumour on the plantar digital nerves (situated in the web between the toes). It may develop due to ill fitting shoes which press against the nerve. The condition is made worse by athletes who spin on the ball of their foot such as golfers and tennis players.

What are the symptoms of Morton's Neuroma?
-Pain on one side of a toe and the adjacent side of the next toe.
-Pain when you squeeze the foot.
-Pain if you press between the bones.


What can the athlete do to prevent Morton's Neuroma?
-Rest
-Wear a metatarsal raise which will raise and spread the bones of the forefoot taking the pressure off the nerve.
-See a podiatrist or sports injury professional who can advise on treatment and rehabilitation.

What can a podiatrist do to combat Morton's Neuroma?
-Fit orthotics.
-Tape the foot to relieve pain and pressure on the nerve.
-Prescribe anti-inflammatory medication (such as ibuprofen)
-Give exercises to strengthen the arch of the foot.
-Perform surgery in severe cases where conservative care has not proven effective.

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