Morton's syndrome

Morton's Syndrome (also known as Morton's Neuroma, Intermetatarsal Neuroma or Morton's Metatarsalgia) is a benign, non-cancerous growth of nerve tissue that develops in the foot, usually between the third and fourth toes. It is a common, painful condition that affects the ball of the foot.

Symptoms

The symptoms of Morton's Syndrome are often described as a burning sensation, tingling, or numbness between the toes and in the ball of the foot. Pain is usually felt while walking or wearing shoes, and relief is often found by removing the shoes and massaging the foot. The pain is often worsened by standing for long periods, walking, or by wearing tight shoes.

Causes

The exact cause of Morton's Syndrome is unknown, but it is believed to be due to irritation, pressure or injury to one of the nerves leading to the toes. This irritation causes the nerve to thicken and inflame, leading to the symptoms of Morton's Syndrome. Factors that may contribute to the development of Morton's Syndrome include wearing high-heeled or tight shoes, being overweight, or having certain foot deformities such as bunions, hammer toes, or flat feet.

Diagnosis

Diagnosis of Morton's Syndrome is typically made through a physical examination and a review of the patient's medical history. During the physical examination, the doctor may feel for a mass or a "click" in the foot. Imaging tests such as X-rays, ultrasound, or MRI may also be used to rule out other conditions.

Treatment

Treatment for Morton's Syndrome usually starts with conservative measures such as changing footwear, using custom orthotics, or taking over-the-counter pain medications. If these measures do not relieve the symptoms, more invasive treatments may be considered. These can include corticosteroid injections, physical therapy, or surgery to remove the neuroma or to release the nerve.

Prognosis

With appropriate treatment, most people with Morton's Syndrome are able to manage their symptoms and continue their normal activities. However, it may take several weeks or months for the symptoms to fully resolve.

See also

• Foot diseases
• Neuroma
• Podiatry

Morton's syndrome Resources
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