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Q: 

I am wondering if I might have a Morton's Neuroma?

By February 2, 2012 - 4:49pm
 
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I have a lot, I mean severe pain that shoots down my foot from abou the middle of the foot down inbetween the 3rd and 4th toes. It is sharp and doesn't last long and occurs mostly when I am walking. I have had surgery (10/1/11) on that foot with a consequent MRSA osteomyelitis infection afterwards. I thought maybe the pain was from that, but this is different. It is intense although brief. How can I tell if this is what it is and what is the treatment for it? Does it require surgery? What kind?

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Hi bbnrse,

I'm sorry you're going through that kind of pain. It sounds like you've been through a lot lately! Your symptoms do sound similar to Morton's neuroma. However, to be sure, it is best to visit your doctor.

According to PubMed health, an "MRI or high-resolution ultrasound can successfully diagnose Morton's neuroma"

If this is in fact the case, treatments can include:
 

 

Nonsurgical treatment is tried first. Your doctor may recommend any of the following:

  • Padding and taping the toe area

  • Shoe inserts

  • Changes to footwear (for example, shoes with wider toe boxes)

  • Anti-inflammatory medicines taken by mouth or injected into the toe area

  • Nerve blocking medicines injected into the toe area

  • Other painkillers

  • Physical therapy

Anti-inflammatories and painkillers are not recommended for long-term treatment.

In some cases, surgery may be needed to remove the thickened tissue. This can help relieve pain and improve foot function. Numbness after surgery is permanent, but should not be painful.

To learn more, visit http://www.ncbi.nlm.nih.gov/pubmedhealth/PMH0004542/

Wishing you the best,

Danielle. 

February 3, 2012 - 3:08pm
(reply to Danielle Serrano)

Thank you so much, Danielle, for the great information. I'll be sure to
call my podiatrist and see what he says. I already use inserts, due to diabetes and plantar fasciatis. I also already wear wide toed shoes. I'll ask him to get an ultrasound to see if they can see anything. Thank you again for all your helpful information, it was very helpful.
bbnrse

February 3, 2012 - 6:16pm
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