Metatarsalgia & Morton’s neuroma

Metatarsalgia & Morton’s neuroma

Metatarsalgia & Morton’s neuroma

Definition:

Metatarsals are the long bones located in the front part of your feet just below your toes. And Metatarsalgia — is a condition that causes burning pain and inflammation at this part of your foot.  Morton’s neuroma is a thickening of the tissue that surrounds the digital nerve leading to the toes. Morton’s neuroma occurs mostly between the third and fourth toes, because of irritation, trauma or excessive pressure in the metatarsals in the forefoot. Both these are often seen in runners and other athletes who are into high impact sports. The incidence of Morton’s neuroma is found more commonly in women than in men (ratio being 8:10).

Signs & Symptoms:

When there is an excessive amount of running and jumping and extra stress is put on the metatarsals the person suffers a sharp pain and a aching or burning sensation at the bottom of his/her foot, and this is the main symptom of metatarsalgia and Morton’s neuroma. Other symptoms of metatarsalgia and Morton’s neuroma may include pain when you stand, walk or run, numbness and unpleasantness in your toes.

Regarding Morton’s neuroma there are no outward signs, such as a lump, because this is not a tumor. In both the cases the person suffers a burning pain, which further aggravates with high intensity exercise or wearing of shoes. The pain occurs mostly in the daytime.

Diagnosis & Treatment:

The risk factor of metatarsals is higher when you are involved in high impact sports, wear ill-fitting footwear, are overweight or have other foot problems.

In such circumstances consult a doctor who would examine your foot and you may need an X-ray to identify or rule out a stress fracture or other foot problems.

During the examination for Morton’s neuroma, your doctor will feel for a palpable mass or a “click” between the bones. He or she will put pressure on the spaces between the toe bones to try to replicate the pain and look for evidence of stress fractures in the bones that might be the cause of the pain. Range of motion tests & X-rays may be required to rule out arthritis or joint inflammations.
For the treatment of Morton’s neuroma and metatarsalgia measures to be taken are to rest your foot and avoid excessive sports, apply ice packs to the affected area, take painkillers, wear proper comfortable shoes or place metatarsals pads in your footwear.

You can even get your shoes customized to help you relieve the pain and thereby reducing the pressure on the nerve. Injections would also reduce the swelling and inflammation of the nerve, bringing some relief.

Prevention is always better than cure hence avoiding wearing inappropriate shoes and maintaining a healthy weight to take the load off your feet.

What is heel neuroma?

 What is heel neuroma?

Frequently unnoticed in the discrepancy diagnosis of heel pain is neuroma of the medial calcaneal branch of the posterior tibial nerve. Heel neuroma is a significant disorder of the foot that has been misdiagnosed by physicians as heel spur syndrome. There are many studies that show how heel pain rarely has anything to do with calcaneal exostosis, but in its place could be related to heel neuroma. Heel pain is a general condition in adults that may root significant discomfort and disability. A variety of soft tissue, osseous and systemic disorders can cause heel pain. Contraction the differential diagnosis begins with a history and physical examination of the lower limit to pinpoint the anatomic source of the heel pain. The most ordinary cause of heel pain in adults is plantar fasciitis. Patients with plantar fasciitis inform about increased heel pain with their first steps in the morning or when they stand up after prolonged sitting.

What are the Sources of neuroma ? :

Softness at the calcaneal tuberosity generally is obvious on examination and is increased with passive dorsiflexion of the toes. Tendonitis also can cause heel pain. Achilles tendonitis is linked with posterior heel pain. Bursae adjacent to the Achilles tendon placing may become inflamed and cause pain. Calcaneal stress fractures are more probable to happen in athletes who participate in sports that need running and jumping. Patients with plantar heel pain accompanied by tingling, burning or numbness may have tarsal tunnel syndrome. Heel protection atrophy may present with diffuse plantar heel pain, mainly in patients who are older and obese. Less common causes of heel pain that should be considered when symptoms are prolonged or unexplained include osteomyelitis, bony abnormalities or tumor. If conservative treatment of plantar fasciitis fails to alleviate symptoms, the physician should assess for a neuroma.

TOP causes of heel pain:

There are few more causes of having heel pain. They are excessive rolling in of the feet when walking. An inflamed bursitis, a small, irritated sack of fluid at the back of the heel. A neuroma, other soft-tissue growths and heel bumps or a bone enlargement at the back of the heel bone. Bruises or stress fractures to the heel bone can be one of the major reasons to get acute heel pain known as neuroma.