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Morton’s Neuroma

Morton’s Neuroma

Morton’s Neuroma is a condition marked by a sharp, burning, or cramp-like pain, typically found between the third and fourth toes. The condition arises as a result of thickening of the nerve tissue between the 3rd and 4th toes. While it often impacts those aged 40 to 60, it’s more common in women. The pain is usually localized but can extend to the top of the foot and even the calf muscles. Beyond pain, symptoms include a pins-and-needles sensation or a loss of feeling, with some describing it as walking on pebbles.

Causes

While the exact cause isn’t fully understood, it’s believed that pressure or irritation of the nerve leads to thickening of the nerve tissue, resulting in pain and pins-and-needles sensations. Factors commonly associated with Morton’s Neuroma include poorly fitted shoes, especially those that are thin-soled, high-heeled, or too narrow. Flat feet and foot abnormalities like bunions, hammer toes, and high arches are also linked to the condition.

Treatment

The primary aim of treatment is to reduce pressure and irritation on the nerves between the toes. This often involves ensuring that patients use footwear that isn’t too tight. Other options include orthotics to relieve nerve pressure and anti-inflammatory treatments, either orally or via a steroid injection. Surgical removal of the neuroma is considered only when conservative treatments prove ineffective.

Prevention

The most effective preventive measure is ensuring footwear is always properly fitted—comfortable with enough room in the toe region. It’s advisable to steer clear of high heels, which can contribute to the development of Morton’s Neuroma.
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