Morton Neuroma, also known as intermetatarsal neuroma, is a painful condition that affects the foot. It occurs when a nerve in the foot becomes compressed and enlarged, leading to a variety of symptoms and physical signs. Understanding the clinical manifestations of Morton Neuroma is crucial in order to accurately diagnose and treat the condition.
Recognizing the Symptoms of Morton Neuroma
One of the key symptoms of Morton Neuroma is pain in the ball of the foot, often described as a sharp or burning sensation. This pain may radiate to the toes, causing numbness or tingling in the affected area. Patients with Morton Neuroma may also experience a feeling of something being stuck or rolled up under the foot, known as a "pebble in the shoe" sensation. The pain is usually worsened by wearing tight shoes or high heels, as these can put pressure on the affected nerve.
In addition to pain, Morton Neuroma can also cause swelling in the affected area. Patients may notice a visible lump or thickening of tissue between the toes, particularly between the third and fourth toes where Morton Neuroma most commonly occurs. Swelling may be accompanied by redness or tenderness in the area, making it difficult to wear shoes comfortably. It is important to note that these symptoms may come and go, depending on factors such as the type of shoes worn and physical activity levels.
Interpreting the Physical Signs of Morton Neuroma
Physical examination of the foot can reveal several signs that point towards Morton Neuroma. Healthcare providers may perform a Mulder’s sign test, in which pressure is applied to the affected area while squeezing the metatarsal heads together. A positive Mulder’s sign is indicated by a click or pain in the forefoot, suggesting the presence of a neuroma. Additionally, palpation of the affected area may elicit tenderness or a "clicking" sensation when pressure is applied, further confirming the diagnosis.
Another physical sign of Morton Neuroma is the presence of a "dropped" metatarsal head, where the affected toe appears to be lower than the surrounding toes. This can be observed during weight-bearing activities and may contribute to instability and altered gait patterns. In severe cases, patients may develop a callus or corn on the affected toe, as a result of abnormal pressure distribution. By recognizing these physical signs, healthcare providers can accurately diagnose Morton Neuroma and develop an appropriate treatment plan for their patients.
In conclusion, understanding the clinical manifestations of Morton Neuroma is essential for early diagnosis and effective management of the condition. By recognizing the symptoms and physical signs associated with Morton Neuroma, healthcare providers can provide prompt treatment and alleviate the pain and discomfort experienced by patients. It is important for individuals experiencing foot pain or swelling to seek medical attention and consult with a healthcare professional for a proper evaluation. With proper diagnosis and treatment, individuals with Morton Neuroma can experience relief and improved quality of life.