FOOT NEUROMA

(MORTONS NEUROMA)

INTRODUCTION TO NEUROMA

The term neuroma refers to a swelling of a nerve. The nerve commonly affected is a small nerve that connects the 3^rd and 4^th toes, counting from the big toe. The patient will complain of pain in the sole of the foot.

SYMPTOMS OF A NEUROMA

• Begins with numbness or tenderness in the foot, just behind the 3^rd and 4^th toes
• At a later stage, pain, numbness, burning and tingling sensations can radiate around the foot.
• The symptoms may appear and disappear spontaneously.
• Severe pain may be present at weight bearing.
• The patient may experience spontaneous shooting pains, which is often referred to as an "electric shock". This can affect patients when are sleeping at night.

CAUSES OF A NEUROMA

• The pulling of the ligaments under the foot irritates the nerve.
• High heels can damage the nerve.
• A tight toe box will squeeze the toes in the foot and therefore put pressure on the nerve.
• Mechanical problems with the feet such as "over pronation". Over pronation can be simply described as a condition, which causes your arches to flatten out when you stand up. This causes your ankles to roll in towards each other and disturbs your normal walking pattern. If a foot over pronates the structures of the foot are put under stress, which increases the likelihood of a neuroma occurring.

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