Morton's neuroma history and symptoms: Difference between revisions

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{{Morton's neuroma}}
{{Morton's neuroma}}
{{CMG}}
{{CMG}} {{AE}}{{S.M.}}
==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]]. [[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]].


==Overview==
==History and Symptoms==
==History and Symptoms==
Symptoms include: pain on weight bearing, frequently after only a short time; the pain is felt as a shooting pain affecting the contiguous halves of two toes. Burning, [[numbness]] and [[parasthesia]] may also be experienced. Classically the 3rd digital space between the 3rd and 4th [[toes]] is affected, but the condition can occasionally occur in the 2nd and 3rd interdigital space. The pain is caused by pressure on the enlarged section of nerve where it passes between the metatarsal heads, and is squeezed between them. The first toe is usually not involved. Neuroma in the 4th/5th interdigital space is described, but is extremely rare.
===Site of involvement===
Usually [[Location parameter|located]] at the following sites:
*[[Third metatarsal bone|Third]] [[intermetatarsal]] space most commonly (between [[Third metatarsal bone|third]] and [[Fourth metatarsal bone|fourth metatarsals]])
*[[Second metatarsal bone|Second]] or [[Fourth metatarsal bone|fourth]] [[Intermetatarsal|interspaces]]
*At the [[bifurcation]] of the fourth [[plantar]] [[digital nerve]]
*[[Fifth metatarsal|Fifth]] [[Intermetatarsal|interspace]] ([[Rare|rarely]])
(first [[toe]] is usually not involved)
===Symptoms===
[[Symptoms]] of [[morton's neuroma]] include:<ref>{{cite web |url=http://faoj.org/tag/intermetatarsal-bursitis/ |title=intermetatarsal bursitis &#124; The Foot and Ankle Online Journal |format= |work= |accessdate=}}</ref>
* [[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
* [[Pain]] is persistent & has the following [[Characteristic impedance|characteristics]]:
** 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]]
** [[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:
*** [[Shooting, shoveling, and shutting up|Shooting]]
*** [[Burn|Burning]]
*** Stabbing
*** [[Raw]]
*** Gnawing
*** [[Sick|Sickening]] [[sensations]]
* [[Numbness]]
* [[Parasthesia]]
* [[Dysesthesia]] ([[painful]] [[hypersensitivity]] to normal [[light]] [[tactile]] [[Stimulants|stimuli]])
* [[Function (biology)|Functional]] [[impairment]]
* [[Psychological]] [[distress]] (severely decreasing the [[quality of life]])
{|
|
[[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==
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Latest revision as of 18:17, 26 June 2019

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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:

(first toe is usually not involved)

Symptoms

Symptoms of morton's neuroma include:[1]

Questionnaire used by patients to assess levels of pain in morton's neuroma.Source: Ross A. Hauser. et al.

References

  1. "intermetatarsal bursitis | The Foot and Ankle Online Journal".


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