Nerve Entrapment/Mortonn’s Neuroma
A neuroma occurs most commonly between the third and fourth
toes, and is caused by a pinching of the nerve between the metatarsals,
which causes inflammation. As this irritation continues, the nerve gets
larger, causing sharp pain, cramping and burning. The symptoms may
move into the webspace or toward the tips of the toes. Shoes that are
too tight will aggravate the condition. The condition is often related to
imbalance in walking. This may necessitate surgical removal
Neuromas may also occur between any of the other toes of the
foot, or on the inner aspect of the heel.
Treatment
Your doctor may choose the following conservative measures
before considering surgery:
1. Injections
2. Padding & Strapping
3. Physical Therapy
If the conservative approach with padding and strapping proves
to be successful, your doctor may advise orthotics.
If none of the above conservative methods satisfactorily relieve
pain, a surgical approach is indicated.
An incision is made over the affected area. The enlargement on
the nerve is located, and this portion of the nerve is removed. This
procedure is performed in in the office or at the hospital, depending
upon the severity of the condition and the choice of the doctor and/or
the patient.
The sharp, severe pain is relieved almost immediately after the
surgery. On some occasions, neuromas may return, but this is the
exception rather than the rule.
Preoperative and postoperative X-rays may be necessary. If, in the
course of your examination by your doctor any biomechanical problems
are detected, your doctor may prescribe orthotics to you.