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Related Experiment Videos

Morton's interdigital neuroma: instructional review.

Nikolaos Gougoulias1, Vasileios Lampridis1, Anthony Sakellariou1

  • 1Frimley Health NHS Foundation Trust. Frimley Park Hospital, UK.

EFORT Open Reviews
|February 26, 2019
PubMed
Summary

Morton's neuroma may be neuropathic foot pain, not a benign nerve tumor. Treatment includes conservative methods, with surgery reserved for failures, offering good results when diagnosis and technique are optimal.

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Area of Science:

  • Orthopedics
  • Podiatry
  • Neurology

Background:

  • The term 'Morton's neuroma' might oversimplify a condition often presenting as neuropathic foot pain related to the interdigital nerve.
  • Understanding foot and ankle pathomechanics is crucial for diagnosing conditions like metatarsalgia.

Purpose of the Study:

  • To discuss the clinical presentation, diagnosis, and management of interdigital neuropathic foot pain.
  • To differentiate between true neuroma and other causes of foot pain.
  • To review current nonoperative and operative treatment strategies.

Main Methods:

  • Review of clinical examination and diagnostic imaging for differential diagnosis.
  • Discussion of nonoperative treatments including physiotherapy, injections, cryotherapy, radiofrequency ablation, and shockwave therapy.
Keywords:
Morton’s neuromainterdigital nervemetatarsalgia

Related Experiment Videos

  • Analysis of surgical options, including neuroma excision and adjunctive procedures like gastrocnemius release and osteotomies.

    • Main Results:

    • Nonoperative management is the recommended initial approach.
    • Surgical intervention, primarily neuroma excision, yields good to excellent results in approximately 80% of patients when nonoperative methods fail.
    • Concomitant procedures may be necessary to address underlying biomechanical issues.

    Conclusions:

    • Accurate diagnosis, encompassing all aspects of the patient's condition, is paramount for successful surgical outcomes.
    • Optimal surgical technique is a key determinant of success in treating this condition.
    • Considering the broader biomechanical context can improve surgical results.