What is Morton's Neuroma?
Morton's neuroma, also known as interdigital neuroma or plantar neuroma, is a common foot condition characterized by the thickening of the tissue around one of the nerves leading to the toes. This condition typically affects the nerve that travels between the third and fourth toes, although it can occur between other toes as well. Morton's neuroma is not a true neuroma, which is a benign tumor of nerve tissue, but rather a thickening of the tissue surrounding the nerve.
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Key Characteristics and Symptoms of Morton's Neuroma Include:
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Symptoms: Individuals with Morton's neuroma often experience pain, burning, tingling, or numbness in the ball of the foot, particularly between the affected toes. The pain may radiate into the toes and may be aggravated by wearing tight or narrow shoes.
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Location: Morton's neuroma typically occurs between the third and fourth toes, but it can also affect the nerves between other toes. The condition is more common in women than men.
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Causes: The exact cause of Morton's neuroma is not fully understood, but it is often associated with irritation or compression of the nerve. Factors that may contribute to its development include wearing high-heeled shoes, tight shoes, or shoes with a narrow toe box that compresses the toes. Certain foot deformities, such as bunions or hammertoes, can also increase the risk.
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Risk Factors: Risk factors for Morton's neuroma include wearing high-heeled shoes, participating in high-impact sports that involve repetitive stress on the feet, having certain foot deformities, and engaging in activities that place excessive pressure on the forefoot.
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Diagnosis: Diagnosis is typically based on a physical examination and discussion of the individual's symptoms and medical history. Imaging studies, such as X-rays or magnetic resonance imaging (MRI), may be ordered to rule out other conditions.
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Conservative Treatment: Initial treatment for Morton's neuroma is often conservative and may include wearing shoes with a wider toe box, using orthotic inserts or padding to alleviate pressure on the nerve, and avoiding activities that worsen symptoms. Shockwave therapy or other soft tissue therapies can be helpful as well. Nonsteroidal anti-inflammatory drugs (NSAIDs) may be recommended to reduce pain and inflammation.
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Corticosteroid Injections: In some cases, corticosteroid injections may be administered to reduce inflammation and alleviate pain. However, repeated injections are generally not recommended due to the risk of complications.
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Rehabilitation: Rehabilitation may be beneficial for stretching and strengthening the muscles in the foot and promoting proper biomechanics.
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Surgical Options: If conservative measures do not provide relief, surgical intervention may be considered. Surgical procedures for Morton's neuroma may involve removing the affected nerve or releasing pressure on the nerve.
How can Chiropractic care help Morton's Neuroma?
Treatment for this often involves conservative measures, including:
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Chiropractic adjusting of the foot and ankle to improve mobility and reduce pain.
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Soft tissue therapies for foot and arch muscles can help reduce tension/pain
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Shockwave therapy can help with quicker recovery.
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Ice: Applying ice to the affected area to reduce inflammation.
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Rehabilitation exercises to improve strength of the arch and calf
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Stretching exercises: Stretching the calf and arch muscles and the plantar fascia itself.
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Supportive footwear: Wearing shoes with proper arch support.
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Orthotic devices: Using orthotic inserts to support the foot's arch.