Mortons Neuroma Excision
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CPD/CME Points: 0.5
There are a limited number of pathologies which present with pain in the 2/3 or 3/4 inter-metatarsal area, a mortons’ neuroma being one of the commoner causes.
Pain may radiate into the toes and be associated with numbness in the web space or not have these features at all. On occasion splaying will effect to varying degrees the position of the toes in the effected web-space.
The first line of management of a Mortons’ neuroma is usually non-constricting and supportive shoe-wear with a low threshold for steroid and local infiltration to reverse the reactive swelling of the digital nerve that comprises a neuroma.
Surgical excision is highly effective for treatment of the intrusive pain associated with the condition but minor degrees of residual associated symptoms are not uncommon post-operatively.
Author: Mark Herron FRCS
Institution: The Wellington Hospital , London