Morton neuroma

Morton Neuroma, also known as interdigital nerve compression syndrome, is a compressive neuropathy of the interdigital nerve, a nerve located in the forefoot, that passes through the space between different metatarsal bones. Despite being called neuroma, it is not a neoplastic condition as it presents a more degenerative aspect. The most common location of the Morton neuroma is in the third inter-metatarsal space, as it is narrower than the others. The specific causes of this condition are still unknown, however, multiple theories around its aetiology have been developed in the medical community (chronic trauma, entrapment, inter-metatarsal bursitis, and ischemic theories). Despite the reasons for this condition not being completely clear, traumatic (e.g.: running, walking, etc) and compressive activities/behaviours (e.g.: wearing tight-fitting heeled shoes), that stress that specific area, have been linked with the development of the condition. Patients affected by this condition typically complain of multiple neural symptoms such as pain, burning, tingling, stabbing and numbness sensation, especially when performing the aforementioned activities.

Management

The first line of treatment for this condition is typically non-surgical, and primarily based on global patient education around the activities that are likely going to trigger (e.g.: long walking, running, etc.) or calm down (e.g.: wearing flat shoes, using some metatarsal pads, etc.) the condition itself. Aside from this, medications, injections and the use of modalities to control the symptoms can potentially be implemented. Rehabilitation strategies aimed at reducing the compression forces directed to the injured area, such as gait retraining, mobility recovery, intrinsic muscle strengthening, etc., should be considered and implemented with the intent of better controlling the symptoms and working on their potential root causes. In cases when the non-surgical treatment was to yield poor outcomes, surgical management should be implemented after discussing its specifics with the patient. In Isokinetic, after being thoroughly visited by one of our specialised doctors, you will be provided with your diagnosis and a series of potential behavioural/activity recommendations that you can start implementing immediately after the consultation. Additionally, rehabilitation is typically prescribed to optimise your lower limb function and minimising your symptoms. Your recovery process will be structured in different environments such as the pool, gym, movement analysis and retraining room, and the pitch.

Morton neuroma

Morton neuroma

Management

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