Pain in the foot between the toes: Morton's neuroma

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Morton's Neuroma - so called tumor that develops from nerve, which is localized between the toes.

Why it appears is not known. Most probably, the reason lies in the thickening transverse arch of the foot, as a result of which was transferred by and damaged nerve, which then formed neuroma. In addition, the cause may be the constant wearing of tight shoes. Also provoke Morton neuroma can strain your fingers or high hollow foot.

If you do an MRI, Morton neuroma can be found in one third of the world's population. And most of the "sick" feels "relatively healthy", because no neuroma them (even if there are complaints) in most cases are not diagnosed.

Meanwhile, people still like neuroma complain! The searing pain in his foot between the third and fourth fingers. And on clicking of bones in the metatarsal area. However, sometimes even MRI in the diagnosis does not work, because almost every person in the foot, you can find something "sort of", it would wish. There sometimes, for example, pain bursitis metatarsophalangeal joints. And they themselves metatarsal bones also all sorts of different diseases.

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With regard to treatment, the Morton neuroma first usually heal without surgery. Firstly, it does not always go as expected during such operations. And, secondly, there is sometimes neuroma after them.

Most often appoints special orthopedic insoles and special pads, lining, reducing the pressure on the sore spot. If by such measures it becomes easier to use insoles / overlays on, then through the pain for some time and can completely disappear. At the same time, and then, and more should be worn on both feet, even if it hurts only one. Not to change the gait. After neuroma occurs for a reason - obviously something wrong with the feet, and therefore it is important to maintain symmetry between them.

Patients with Morton's neuroma and shoes should be selected special - lightweight, breathable, with a wide front, allowing little to push the toes. And if over time the foot thicken and become wider, you need to buy a new pair, even if it is still wearable. Otherwise, the pain will return.

When the correction of the state of insoles, pads and wearing special shoes does not help, the doctor makes a patient neuroma with an injection of the steroid with local anesthetic directly into the affected area - top to the base of the finger 3-4. Sometimes inexperience or lack of understanding the doctor performs the injection from the bottom (from the soles), and then the possible complications of the disease. To prevent this, it is necessary beforehand to discuss this point, stating before the injection, which insist on the introduction of the drug is the top.

If after a course of corrective procedures state for 9-12 months, the patient is not getting better, podiatrist removes Morton neuroma surgically. However, surgery is not always really helpful. Sometimes the pain remains or comes back after a while. To reduce risks and avoid (minimize) the pain, you need to wear comfortable shoes with low heels, not squeezing fingers.

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