Morton's neuroma history and symptoms: Difference between revisions
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==Overview== | ==Overview== | ||
[[Morton's neuroma]] is most commonly [[Location parameter|located]] at the [[Third metatarsal bone|third]] [[intermetatarsal]] [[Spacetime|space]], with other [[Site Master File|sites]] being involved including [[Second metatarsal bone|second]] or [[Fourth metatarsal bone|fourth]] [[Intermetatarsal|interspaces]], at the [[bifurcation]] of the fourth [[plantar]] [[digital nerve]] and [[Fifth metatarsal|fifth]] [[Intermetatarsal|interspace]] [[Rare|rarely]]. Most common [[symptom]] of [[morton's neuroma]] includes [[pain]] on [[weight]] bearing [[Affect|affecting]] the [[contiguous]] [[Half cell|halves]] of two [[toes]], with the [[nature]] of [[pain]] being [[Shooting, shoveling, and shutting up|shooting]], [[Burn|burning]], stabbing, [[raw]], gnawing or [[Sick|sickening]] [[sensations]]. Other [[symptoms]] may include [[numbness]], [[parasthesia]], [[dysesthesia]], [[function (biology)|functional]] [[impairment]] and [[psychological]] [[distress]] [[Association (statistics)|associated]] with severe decrease in the [[quality of life]]. | [[Morton's neuroma]] is most commonly [[Location parameter|located]] at the [[Third metatarsal bone|third]] [[intermetatarsal]] [[Spacetime|space]], with other [[Site Master File|sites]] being involved including [[Second metatarsal bone|second]] or [[Fourth metatarsal bone|fourth]] [[Intermetatarsal|interspaces]], at the [[bifurcation]] of the fourth [[plantar]] [[digital nerve]] and [[Fifth metatarsal|fifth]] [[Intermetatarsal|interspace]] [[Rare|rarely]]. [[Patient]] complaints of [[feeling]] like <nowiki>''</nowiki>[[walking]] on a marble<nowiki>''</nowiki>. Most common [[symptom]] of [[morton's neuroma]] includes persistent [[pain]] on [[weight]] bearing [[Affect|affecting]] the [[contiguous]] [[Half cell|halves]] of two [[toes]], with the [[nature]] of [[pain]] being [[Shooting, shoveling, and shutting up|shooting]], [[Burn|burning]], stabbing, [[raw]], gnawing or [[Sick|sickening]] [[sensations]]. Other [[symptoms]] may include [[numbness]], [[parasthesia]], [[dysesthesia]], [[function (biology)|functional]] [[impairment]] and [[psychological]] [[distress]] [[Association (statistics)|associated]] with severe decrease in the [[quality of life]]. | ||
==History and Symptoms== | ==History and Symptoms== | ||
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(first [[toe]] is usually not involved) | (first [[toe]] is usually not involved) | ||
===Symptoms=== | ===Symptoms=== | ||
[[Symptoms]] of [[morton's neuroma]] include: | [[Symptoms]] of [[morton's neuroma]] include:<ref>{{cite web |url=http://faoj.org/tag/intermetatarsal-bursitis/ |title=intermetatarsal bursitis | The Foot and Ankle Online Journal |format= |work= |accessdate=}}</ref> | ||
* [[Feeling]] like <nowiki>''</nowiki>[[walking]] on a marble<nowiki>''</nowiki> | * [[Feeling]] like <nowiki>''</nowiki>[[walking]] on a marble<nowiki>''</nowiki> or a pebble in the [[Shoe insert|shoe]] or bunched-up/creased sock | ||
* Most common [[symptom]] is [[pain]] in the [[Affect|affected]] [[area]] [[Causes|caused]] by [[pressure]] on the enlarged [[section]] of [[nerve]] where it [[Passing (sociology)|passes]] between the [[Metatarsal bones|metatarsal]] [[Head (anatomy)|heads]], and is squeezed between them | * Most common [[symptom]] is [[pain]] in the [[Affect|affected]] [[area]] [[Causes|caused]] by [[pressure]] on the enlarged [[section]] of [[nerve]] where it [[Passing (sociology)|passes]] between the [[Metatarsal bones|metatarsal]] [[Head (anatomy)|heads]], and is squeezed between them | ||
* [[Pain]] is persistent & has the following [[Characteristic impedance|characteristics]]: | * [[Pain]] is persistent & has the following [[Characteristic impedance|characteristics]]: | ||
** Occurs mostly on [[weight]] bearing | ** Occurs mostly on [[weight]] bearing while [[walking]] or [[Wear red day|wearing]] [[Shoe insert|shoes]] that squeeze the [[feet]] | ||
** Occurs [[Frequentism|frequently]] after only a [[Short time duty|short time]] | ** Occurs [[Frequentism|frequently]] after only a [[Short time duty|short time]] | ||
** [[Affect|Affects]] the [[contiguous]] [[Half cell|halves]] of two [[toes]] | ** [[Affect|Affects]] the [[contiguous]] [[Half cell|halves]] of two [[toes]] | ||
** [[Pain]] tends to ease off at the night [[Time-series|time]] | |||
** [[Nature]] of [[pain]] maybe any of the following: | ** [[Nature]] of [[pain]] maybe any of the following: | ||
*** [[Shooting, shoveling, and shutting up|Shooting]] | *** [[Shooting, shoveling, and shutting up|Shooting]] | ||
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* [[Function (biology)|Functional]] [[impairment]] | * [[Function (biology)|Functional]] [[impairment]] | ||
* [[Psychological]] [[distress]] (severely decreasing the [[quality of life]]) | * [[Psychological]] [[distress]] (severely decreasing the [[quality of life]]) | ||
{| | |||
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[[File:Qurestionnaire for pain.jpg|thumb|400px|none|Questionnaire used by patients to assess levels of pain in morton's neuroma.[http://faoj.org/wp-content/uploads/2012/06/prolotherapy.pdf Source: Ross A. Hauser. et al.]]] | |||
|} | |||
==References== | ==References== | ||
Latest revision as of 18:17, 26 June 2019
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Morton's neuroma Microchapters |
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Diagnosis |
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Treatment |
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Case Studies |
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Morton's neuroma history and symptoms On the Web |
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American Roentgen Ray Society Images of Morton's neuroma history and symptoms |
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Risk calculators and risk factors for Morton's neuroma history and symptoms |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Sara Mohsin, M.D.[2]
Overview
Morton's neuroma is most commonly located at the third intermetatarsal space, with other sites being involved including second or fourth interspaces, at the bifurcation of the fourth plantar digital nerve and fifth interspace rarely. Patient complaints of feeling like ''walking on a marble''. Most common symptom of morton's neuroma includes persistent pain on weight bearing affecting the contiguous halves of two toes, with the nature of pain being shooting, burning, stabbing, raw, gnawing or sickening sensations. Other symptoms may include numbness, parasthesia, dysesthesia, functional impairment and psychological distress associated with severe decrease in the quality of life.
History and Symptoms
Site of involvement
Usually located at the following sites:
- Third intermetatarsal space most commonly (between third and fourth metatarsals)
- Second or fourth interspaces
- At the bifurcation of the fourth plantar digital nerve
- Fifth interspace (rarely)
(first toe is usually not involved)
Symptoms
Symptoms of morton's neuroma include:[1]
- Feeling like ''walking on a marble'' or a pebble in the shoe or bunched-up/creased sock
- Most common symptom is pain in the affected area caused by pressure on the enlarged section of nerve where it passes between the metatarsal heads, and is squeezed between them
- Pain is persistent & has the following characteristics:
- Occurs mostly on weight bearing while walking or wearing shoes that squeeze the feet
- Occurs frequently after only a short time
- Affects the contiguous halves of two toes
- Pain tends to ease off at the night time
- Nature of pain maybe any of the following:
- Shooting
- Burning
- Stabbing
- Raw
- Gnawing
- Sickening sensations
- Numbness
- Parasthesia
- Dysesthesia (painful hypersensitivity to normal light tactile stimuli)
- Functional impairment
- Psychological distress (severely decreasing the quality of life)
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