What are foot neuromas?

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Foot neuromas, also known as Mortons Neuroma, are nerve entrapment syndromes of the foot

A Mortons neuroma is a nerve entrapment syndrome of the foot. It occurs when prolonged irritation of the nerve causes thickening and sometimes scarring. It most commonly occurs between the 2-3 or 3-4 metatarsal spaces (see right).

 

Fact 1

Mortons Neuroma is the name given to a neuroma located between the 3rd and 4th metatarsals. 75% of isolated neuromas occur here, while in the case of multiple neuromas, nearly 100% involve a Mortons neuroma.

 

Fact 2

65% of foot neuromas occur as an isolated, single neuroma. The remaining 35% of cases involve multiple nerves.

 

Fact 3

Neuromas usually follow a progression of degeneration. They start out as mild nerve irritation that is relieved by removing or changing shoes. Over time the nerve can become thicker and these changes can become permanent.

 

Fact 4

Imaging a neuroma can be achieved via ultrasound. This can be bulk billed through Medicare using a referral from your podiatrist. However, an ultrasound is rarely required as a thorough history and physical examination often exposes the cause of pain.

 

Fact 5

A “stump neuroma” is the scar tissue that can remain after surgical excision of a neuroma. Up to 35% of patients who have had Mortons neuroma surgery end up with unacceptable levels of post-surgical pain.

 

Fact 6

Factors contributing to the development of foot neuromas can be varied. No two feet are the same and so all factors and many treatment options need to be considered.


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