Morton's neuroma (patient information): Difference between revisions

	Morton's neuroma
Overview
What are the symptoms?
What are the causes?
Who is at highest risk?
When to seek urgent medical care?
Diagnosis
Treatment options
Where to find medical care for Morton's neuroma?
What to expect (Outlook/Prognosis)?
Possible complications
Prevention
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Images of Morton's neuroma
Videos on Morton's neuroma
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Directions to Hospitals Treating Morton's neuroma
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Latest revision as of 20:54, 7 June 2019

For the WikiDoc page for this topic, click here

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor-In-Chief: Sara Mohsin, M.D.[2] Lakshmi Gopalakrishnan, M.B.B.S.

Overview

Morton's neuroma is a thickening of nerve tissue between the toes. It commonly affects the nerve that travels between the third and fourth toes.

What are the symptoms of Morton's neuroma?

Symptoms of Morton's neuroma include:

Feeling like ''walking on a marble''
Persistent pain in the ball of your foot that:
- Increases when wearing shoes or pressing on the area
- Gets worse over time
Tingling in the space between the third and fourth toes
Toe cramping
Sharp, shooting, or burning pains in the ball of your foot (and sometimes toes)

In rare cases, nerve pain occurs in the space between the second and third toes. This is not a common form of Morton's neuroma, but treatment is similar.

What causes Morton's neuroma?

Morton's neuroma is more common in women than men

The exact cause is unknown. However, some experts believe the following may play a role in the development of this condition:

Abnormal positioning of toes
Flat feet
Forefoot problems, including bunions and hammer toes
High foot arches
Tight shoes and high heels

Diagnosis

A foot x-ray may be done to rule out bone problems
MRI or high-resolution ultrasound can successfully diagnose Morton's neuroma
Nerve testing (electromyography) cannot definitely diagnose Morton's neuroma, but may be used to rule out conditions that cause similar symptoms
Your doctor may order blood tests to check for inflammation-related conditions, including certain forms of arthritis

When to seek urgent medical care?

Call your health care provider if you have persistent pain or tingling in your foot or toe area

Treatment options

Nonsurgical treatment is tried first. Your doctor may recommend any of the following:

Padding and taping the toe area
Shoe inserts
Changes to footwear (for example, shoes with wider toe boxes)
Anti-inflammatory medicines taken by mouth or injected into the toe area
Nerve blocking medicines injected into the toe area
Other painkillers
Physical therapy

Anti-inflammatories and painkillers are not recommended for long-term treatment

In some cases, surgery may be needed to remove the thickened tissue. This can help relieve pain and improve foot function. Numbness after surgery is permanent, but should not be painful.

Where to find medical care for Morton's neuroma?

Directions to Hospitals Treating Morton's neuroma

Prevention

Avoid ill-fitting/tight shoes
Avoid high heels
Wear comfortable shoes with a wide toe box, low heels, & good arch support
Avoid high-impact sports such as rock-climbing, ballet dancing, jogging, running, snow skiing

What to expect (Outlook/Prognosis)?

Nonsurgical treatment does not always improve symptoms. Surgery to remove the thickened tissue is successful in about 85% of cases.

Possible complications

Morton's neuroma can make walking difficult. Persons with this foot condition may also have trouble performing activities that put pressure on the foot, such as pressing the gas pedal of an automobile. It may hurt to wear certain types of shoes, such as high-heels.

Sources

http://www.nlm.nih.gov/medlineplus/ency/article/007286.htm Template:WH Template:WS

@@ Line 1: / Line 1: @@
 {{Template:Morton's neuroma (patient information)}}
 '''For the WikiDoc page for this topic, click [[Morton's neuroma|here]]'''
-{{CMG}}; '''Associate Editor-In-Chief:''' [[Lakshmi Gopalakrishnan]], M.B.B.S.
+{{CMG}}; '''Associate Editor-In-Chief:''' {{S.M.}} [[Lakshmi Gopalakrishnan]], M.B.B.S.
 ==Overview==
-Morton's neuroma is a thickening of nerve tissue between the toes. It commonly affects the nerve that travels between the third and fourth toes.
+[[Morton's neuroma]] is a [[Thickener|thickening]] of [[nerve]] [[Tissue (biology)|tissue]] between the [[toes]]. It commonly [[Affect|affects]] the [[nerve]] that travels between the [[Third metatarsal bone|third]] and [[Fourth metatarsal bone|fourth toes]].
 ==What are the symptoms of Morton's neuroma?==
-*Symptoms of Morton's neuroma include:
+*[[Symptoms]] of [[Morton's neuroma]] include:
-:*Tingling in the space between the third and fourth toes
+:*[[Feeling]] like <nowiki>''</nowiki>[[walking]] on a marble<nowiki>''</nowiki>
-:*Toe cramping
+:*Persistent [[pain]] in the [[Ball (anatomy)|ball]] of your [[foot]] that:
-:*Sharp, shooting, or burning pains in the ball of your foot (and sometimes toes)
+:**Increases when [[Wear red day|wearing]] [[Shoe insert|shoes]] or [[Pressor|pressing]] on the [[area]]
-:*Pain that increases when wearing shoes or pressing on the area
+:**Gets worse over [[Time series|time]]
-:*Pain that gets worse over time
+:*[[Tingling]] in the [[Intermetatarsal|space]] between the [[Third metatarsal bone|third]] and [[Fourth metatarsal bone|fourth toes]]
+:*[[Toe]] [[cramping]]
+:*Sharp, [[Shooting, shoveling, and shutting up|shooting]], or [[Burn|burning]] [[pains]] in the [[Ball (anatomy)|ball]] of your [[foot]] (and sometimes [[toes]])
-*In rare cases, nerve pain occurs in the space between the second and third toes. This is not a common form of Morton's neuroma, but treatment is similar.
+*In [[rare]] cases, [[nerve]] [[pain]] occurs in the [[Intermetatarsal|space]] between the [[second]] and [[Third metatarsal bone|third toes]]. This is not a [[Common-cause and special-cause|common]] [[Formal charge|form]] of [[Morton's neuroma]], but [[Treatments|treatment]] is [[Similarity matrix|similar]].
 ==What causes Morton's neuroma?==
-*Morton's neuroma is more common in women than men.
+*[[Morton's neuroma]] is more [[Common- and special-causes|common]] in [[Womens Pack|women]] than [[men]]
-*The exact cause is unknown. However, some experts believe the following may play a role in the development of this condition:
+*The [[Exact test|exact]] [[Causes|cause]] is unknown. However, some [[Expert Patient Programme|experts]] [[Belief revision|believe]] the following may [[Play therapy|play]] a [[Role reversal|role]] in the [[development]] of this [[condition]]:
-:*Abnormal positioning of toes
+:*[[Abnormal]] [[Position effect|positioning]] of [[toes]]
-:*Flat feet
+:*[[Flat feet]]
-:*Forefoot problems, including bunions and hammer toes
+:*[[Foot|Forefoot]] [[Problem Solved|problems]], including [[Bunion|bunions]] and [[Hammer toe|hammer toes]]
-:*High foot arches
+:*High [[Arches of the foot|foot arches]]
-:*Tight shoes and high heels
+:*Tight [[Shoe insert|shoes]] and high [[Heel|heels]]
-==How to know you have a Morton's neuroma?==
+==Diagnosis==
-*A '''foot x-ray''' may be done to rule out bone problems.
+*A '''[[foot]] [[x-ray]]''' may be done to rule out [[bone]] [[Problem Solved|problems]]
-*'''MRI''' or high-resolution ultrasound can successfully diagnose Morton's neuroma.
+*'''[[MRI]]''' or [[High resolution manometry|high-resolution]] [[ultrasound]] can successfully [[diagnose]] [[Morton's neuroma]]
-*'''Nerve testing''' (electromyography) cannot definitely diagnose Morton's neuroma, but may be used to rule out conditions that cause similar symptoms.
+*'''[[Nerve]] [[testing]]''' ([[electromyography]]) cannot definitely [[diagnose]] [[Morton's neuroma]], but may be [[Usage analysis|used]] to rule out [[conditions]] that [[Causes|cause]] [[Similarity matrix|similar]] [[symptoms]]
-*Your doctor may order '''blood tests''' to check for inflammation-related conditions, including certain forms of [[arthritis]].
+*Your [[Doctor of Medicine|doctor]] may [[Order (biology)|order]] '''[[blood tests]]''' to [[check]] for [[inflammation]]-[[Related changes|related]] [[conditions]], including [[Certain safety factor|certain]] forms of [[arthritis]]
-==When to seek urgent medical care==
+==When to seek urgent medical care?==
-Call your health care provider if you have persistent pain or tingling in your foot or toe area.
+[[Call for help|Call]] your [[health care provider]] if you have persistent [[pain]] or [[tingling]] in your [[foot]] or [[toe]] [[area]]
 ==Treatment options==
-*'''Nonsurgical treatment is tried first.''' Your doctor may recommend any of the following:
+*'''Non[[Surgery|surgical]] [[Treatments|treatment]] is tried first.''' Your [[Doctor of Medicine|doctor]] may [[Recommender system|recommend]] any of the following:
-:*Padding and taping the toe area
+:*Padding and taping the [[toe]] [[area]]
-:*Shoe inserts
+:*[[Shoe insert|Shoe inserts]]
-:*Changes to footwear (for example, shoes with wider toe boxes)
+:*[[Change detection|Changes]] to [[Foot|footwear]] (for [[Example 1|example]], [[Shoe insert|shoes]] with [[Wide and fast|wider]] [[toe]] boxes)
-:*Anti-inflammatory medicines taken by mouth or injected into the toe area
+:*[[Anti-inflammatory medication|Anti-inflammatory medicines]] taken by [[mouth]] or [[injected]] into the [[toe]] [[area]]
-:*Nerve blocking medicines injected into the toe area
+:*[[Nerve block|Nerve blocking]] [[Medicines Act|medicines]] [[injected]] into the [[toe]] [[area]]
-:*Other painkillers
+:*Other [[painkillers]]
-:*Physical therapy
+:*[[Physical therapy]]
-*Anti-inflammatories and painkillers are not recommended for long-term treatment.
+*[[Anti-inflammatory medication|Anti-inflammatories]] and [[painkillers]] are not [[Recommender system|recommended]] for long-term [[Treatments|treatment]]
-*In some cases, surgery may be needed to remove the thickened tissue. This can help relieve pain and improve foot function. Numbness after surgery is permanent, but should not be painful.
+*In some cases, [[surgery]] may be needed to remove the [[Thickener|thickened]] [[Tissue (biology)|tissue]]. This can [[Help Menu|help]] [[Pain relief|relieve pain]] and [[Improving agent|improve]] [[foot]] [[Function (biology)|function]]. [[Numbness]] after [[surgery]] is [[Permanent makeup|permanent]], but should not be [[painful]].
-==Where to find medical care for Morton's neuroma==
+==Where to find medical care for Morton's neuroma?==
 [http://maps.google.com/maps?f=q&hl=en&geocode=&q={{urlencode:{{#if:{{{1|}}}|{{{1}}}|Morton's neuroma}}}}&sll=37.0625,-95.677068&sspn=65.008093,112.148438&ie=UTF8&ll=37.0625,-95.677068&spn=91.690419,149.414063&z=2&source=embed Directions to Hospitals Treating Morton's neuroma]
 ==Prevention==
-Avoid ill-fitting shoes. Wear shoes with a wide toe box.
+* [[Avoidance response|Avoid]] [[Illness|ill]]-fitting/tight [[Shoe insert|shoes]]
+* [[Avoidance response|Avoid]] high [[Heel|heels]]
+* [[Wear red day|Wear]] comfortable [[Shoe insert|shoes]] with a [[Wide and fast|wide]] [[toe]] [[box]], low [[Heel|heels]], & [[Good Friends (Cereal)|good]] [[arch support]]
+* [[Avoidance response|Avoid]] high-[[Impacted|impact]] [[Sports medicine|sports]] such as [[Rock climbing|rock-climbing]], ballet dancing, jogging, [[running]], [[snow]] skiing
-==What to expect (Outlook/Prognosis)==
+==What to expect (Outlook/Prognosis)?==
-Nonsurgical treatment does not always improve symptoms. Surgery to remove the thickened tissue is successful in about 85% of cases.
+Non[[Surgery|surgical]] [[Treatments|treatment]] does not always [[Improving agent|improve]] [[symptoms]]. [[Surgery]] to remove the [[Thickener|thickened]] [[Tissue (biology)|tissue]] is successful in about 85% of cases.
 ==Possible complications==
-Morton's neuroma can make walking difficult. Persons with this foot condition may also have trouble performing activities that put pressure on the foot, such as pressing the gas pedal of an automobile. It may hurt to wear certain types of shoes, such as high-heels.
+[[Morton's neuroma]] can make [[walking]] difficult. [[Person|Persons]] with this [[foot]] [[condition]] may also have [[trouble]] [[Performance status|performing]] [[Activities of daily living|activities]] that put [[pressure]] on the [[foot]], such as [[Pressor|pressing]] the [[gas]] pedal of an automobile. It may hurt to [[Wear red day|wear]] certain types of [[Shoe insert|shoes]], such as high-[[Heel|heels]].
 ==Sources==
 http://www.nlm.nih.gov/medlineplus/ency/article/007286.htm
+{{WH}}
+{{WS}}
-[[Category:Disease state]]
+[[Category:Disease]]
-[[Category:Oncology]]
 [[Category:Neurology]]
 [[Category:Anatomical pathology]]
@@ Line 76: / Line 83: @@
 [[Category:Overview complete]]
 [[Category:Template complete]]
+ [[Category:Up-To-Date]]
-{{WH}}
+[[Category:Oncology]]
-{{WS}}
+[[Category:Medicine]]
+[[Category:Orthopedics]]