Morton's Neuroma

Question 1

why does Morton’s neuroma occur

Answer 1

plantar interdigital nerves (from medial and lateral plantar nerves) overlying intermetatarsal ligaments can be subjected to trauma

Question 2

how does he neuroma form

Answer 2

irritated nerves become inflamed and swollen

Question 3

what do patients complain of

Answer 3

burning pain and tingling radiating into the affected toes

Question 4

are women or men more likely too suffer from this condition

Answer 4

women (4X’s) due to high heels

Question 5

what is the most commonly affected interspace nerve

Answer 5

third followed by second

Question 6

what does clinical exam show

Answer 6

• loss of sensation in affected web space

- medio-lateral compression of metatarsal heads can reproduce symptoms and produce a ‘click’ (Mulder’s click test)

Question 7

what test is used for diagnosis

Answer 7

ultrasound

Question 8

what does ultrasound show

Answer 8

swollen nerve

Question 9

what are conservative management measures

Answer 9

metatarsal pad or offloading insole, steroid and local anaesthetic injections

Question 10

neuromas can be excised but what are negative effects

Answer 10

some continue to experience pain and small risk of recurrence