Morton's Neuroma, in terms of weight bearing during standing, certain regions carry more load, while certain regions carry less load. Changes in this distribution lead to damage to certain anatomical structures and the formation of some complaints. One of the most common of these is the compression of the nerve passing between the 3rd and 4th fingers, called Morton's neuroma.
In whom is Morton's Neuroma most commonly seen?
Those with a big toe protrusion on their feet, high arches or flat feet. People with diabetes and the use of high-heeled and pointed shoes are the most common causes of Morton's neuroma problem.
What are the symptoms of Morton's Neuroma?
Typical symptoms may be seen in Morton's Neuroma patients as stated below.
>The feeling of tightness, electric shock, the feeling of a mass under the foot, and the relief that occurs when wearing open shoes or taking off shoes are extremely typical findings in patients.
- A cause of uneasiness that occurs while walking. Feeling of taking off shoes with
- Relief with open shoes or taking off shoes
- Numbness and cramps in the toes
- Discomfort feeling under the foot
- A feeling of discomfort under the shoe Sensation of something being there
- Constriction feeling that occurs when wearing closed shoes,
- Electricity in the foot,
- Feeling of a mass under the foot
What is Morton's Neuroma?
Many nerves that are responsible for providing sensation to the fingers pass from the sole of the foot. However, the nerve passing between the 3rd and 4th fingers is the area closest to being under pressure due to the anatomical structure. Generally, in people with weight problems, flat feet or high arches, people with thumb problems, after the load distribution of the foot is disrupted, pressure occurs on the nerve passing between the 3rd and 4th toes due to the increase in the load. Too much pressure causes the nerve to thicken. The thickened nerve gives seriously false signals and causes complaints.
How is Morton's Neuroma Diagnosed?
Apart from the typical findings in Morton's Neuroma patients, the tests called compression test and Mulder's click are positive during the examination. Diagnosis is made with. morto n In suspicious cases, contrast-enhanced MRIs may help in the differential diagnosis of norinoma patients. However, it should not be forgotten that the diagnosis of Morton Norinoma is made by examination. A negative MRI does not mean that the patient does not have Morton's Norinoma, or a positive MRI does not mean that the patient definitely has Morton's Norinoma. Physical examination is essential in the diagnosis of Morton's Neuroma.
Morton's Neuroma Diagnosis
The occurrence of pain with a standing compression test during the examination is diagnostic. An MRI with medication (contrast) may be required to clarify the diagnosis.
Morton's Neuroma Treatment
After the diagnosis of Morton's Neuroma patients, they must first change shoes and use personalized insoles to reduce the pressure on the nerve. Complaints are tracked by ensuring their correct distribution. Application of personalized insoles alone will be sufficient for treatment in 50% of Morton's Norinoma patients. In Morton's Norinoma patients who do not benefit from insoles, in the second stage, an attempt is made to prevent the nerve from stimulating by injecting alcohol or cortisone into the area where the nerve is compressed. Injections are made twice, with an interval of 1 week. At the end of 3 weeks, it becomes clear whether the patient has benefited. In the final stage, Morton's Norinoma patients who do not benefit from these treatments are treated with surgical removal of the nerve. 30% of the patients benefit from this treatment.
Morton Neuroma Surgery
In patients who cannot get results with personalized insoles and injection method, surgical removal of the nerve should be preferred.
Morton's Neuroma patients will need 2 weeks of rest after surgery. It is recommended to wear sports shoes for 8 weeks. The duration of full recovery and return to normal for Morton's Norinoma disease is 6-8 weeks.
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