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Dr. Thomas F. Bembynista

Morton's Neuroma

Morton's neuroma

Overview

Morton's neuroma is enlarged nerve that usually occursbetween the third and fourth toes, but a neuroma can also occur between thesecond and third toe.

Morton's Neuroma
Morton's Neuroma

Click on the image to view a larger version.

The nerve lies in the subcutaneous  tissue, just above the fat pad on the bottomof the foot between the metatarsal bones. The ground pushes up on the enlargednerve with each step causing the nerve to be pinched between the metatarsalbones causing pain. The nerve normally gets bigger from the pinching and increasesin pain as the problem gets worse.

Symptoms

The most common symptom is localized pain between themetatarsal bones on the bottom of the foot. It can be sharp and is worsened byshoes or walking. Many time people have shooting or throbbing pain when they are off their feet.

Diagnosis

Usually it is easy, there is localized pain on the bottom of the foot. Commonly simply palpation to the area elicits pain when we hold the foot and push careful on the area  which causes a audible click which is the nerve being pinched between the metatarsal bones.

Treatment

In most causes a mild steroid injection given 1 to 3 times over a few week period this can reduce the pain. If pain persists, chemical neurolysis injections can be used its generally very helpful but may result in slight numbness to the nerve area. In some cases custom orthotics can help also.

Surgery is rarely necessary ,The incision is made on top of the foot to prevent a bad scar on the sole of the foot this also allows for early weight bearing after surgery, this  can be performed in the office or outpatient. Complications are rare, but the nerve can redevelop. 




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Dr. Thomas F. Bembynista
Independence office
10612 E 18 St
Independence, MO 64052
Tel: 816.461.7755
Fax: 816.461.0393
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Overland Park office
10550 Quivira Road
Suite 260
Overland Park, KS 66210
Tel: 913.894.0660
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Baptist Medical Center office
6724 Troost Avenue
Suite 302
Kansas City, MO 64131
Tel: 816.523.3033
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Barry Road office
5820 N.W. Barry Road
Suite 400
Kansas City, MO 64154
Tel: 816.455.3636
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