Mortons Neuroma
A thickening of the nerve between the metatarsal bones can cause radiating symptoms into the toes. Most commonly, this involves the space between the 3rd and 4th toes. Generally, the symptoms start gradually causing burning, tingling, cramping and numbness. Often, removing your shoe and rubbing the area improves the symptoms. Causes include: tight or improperly fitted footwear, and abnormal foot function. Examination and treatment may include a diagnostic nerve block. Conservative care focuses on shoewear, off-weighting, therapeutic ultrasound and injection. Historically cortisone injections were the mainstay injection treatment. Another effective and non-surgical approach is the use of sclerosing injections. This is a diluted alcohol solution which can be very effective and preclude the need for surgical intervention. When surgery is indicated, weight-bearing is allowed immediately after the procedure.
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