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A Morton's Neuroma Invading the Proper Digital Nerve
Steven R Edwards1,2, Dean Samaras3
1Surgery, Australasian College of Podiatric Surgeons, Melbourne, AUS.
Cureus
|August 8, 2020
Summary
A 55-year-old woman experienced severe toe pain due to a neuroma. Surgical removal of the neuroma provided complete pain relief, indicating excision is an effective treatment for digital pain.
Area of Science:
- Podiatry
- Neurology
Background:
- Persistent digital pain in the fourth toe, unresponsive to conservative treatments, prompted further investigation.
- The patient, a 55-year-old female, presented with intractable pain of unknown origin in her right fourth toe.
Observation:
- Surgical resection revealed a neuroma invading the fourth digit.
- Hypertrophy and herniation of the proper digital nerve were observed.
- The neuroma was identified as the cause of the patient's digital pain.
Findings:
- Excision of the neuroma resulted in an uneventful recovery.
- Minor postoperative neurogenic symptoms at six months resolved with conservative management.
- Complete pain relief was achieved at the 12-month postoperative follow-up.
Implications:
- Surgical excision of isolated neuromas is a viable treatment for digital pain.
- This case highlights the importance of considering nerve-related pathologies in cases of refractory toe pain.
- Prompt surgical intervention can lead to significant improvement in quality of life for patients with digital neuromas.
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