INJECTION THERAPY FOR MORTON'S NEUROMA

What is morton’s neuroma?
When a tiny nerve between the bones of the forefoot becomes inflamed, it forms a Morton’s neuroma. Wearing shoes that are either too tight or not supportive enough is frequently linked to Morton’s neuroma. Because of the shift in weight bearing over the forefoot, high heels can potentially develop Morton’s neuroma. Morton’s neuroma is more common in women than it is in males, but it can affect anyone at any age. Morton’s Neuroma can be accompanied by intermetatarsal bursitis in some circumstances (irritation of a small fluid filled sac that sits next to the site of the neuroma.

What are the symptoms of morton’s neuroma? 
A Morton’s neuroma causes the following symptoms:

  • A severe discomfort in the forefoot between the bones (often between the 3rd and 4th toes).
  • Sharp pain when walking, running, or working out (especially on cobbled and uneven surfaces).
  • You have the sensation of standing on a little pebble or stone.
  • Pins and needles radiate from the sole of the foot to the toes.

What other conditions can present as morton’s neuroma? 

  • Ankle osteoarthritis 
  • Sinus tarsi 
  • Osteoarthritis of the midfoot
  • The big toe osteoarthritis.

Morton’s neuroma vs midfoot osteoarthritis:
Morton’s neuroma and midfoot osteoarthritis are two completely different conditions.

Morton’s Neuroma symptoms are felt beneath the sole of the foot and might progress to the ball of the foot. Sharp pain is common, and pins and needles are sometimes present. Many folks say they feel like they’re stepping on a stone when they have a Morton’s neuroma! A Morton’s neuroma does not impact the joints of the foot and is not linked to foot stiffness or a change in the shape of the foot, as is the case with osteoarthritis. Younger people are more likely to have a Morton’s neuroma, but elderly persons are more likely to have osteoarthritis. Osteoarthritis causes discomfort and stiffness on the top of the midfoot (the instep of the foot). As opposed to Morton’s neuroma, it does not cause discomfort in the sole of the foot or pins and needles.

What is morton’s neuroma, and how do we treat it? 
A Morton’s neuroma is a tiny nerve irritation and swelling between the bones at the front of the foot. It’s commonly felt between the third and fourth toes, and it’s often linked to bad foot biomechanics and wearing the improper shoes. Morton’s neuroma can be extremely painful. Patients frequently describe the pain as if it were a “stone in their shoe.”

Morton’s neuroma can be treated in a variety of ways. Correcting the biomechanics of the foot, examining footwear, and addressing any muscle tightness or weakness are all common examples. Here are a few pointers to get you started:

  • Wearing tight slip-on shoes is not a good idea, especially if your feet are wide.
  • Lace-up leather shoes are usually more comfy.
  • Make sure your shoes aren’t too small. Here’s a fast test: the distance between the end of the shoe and your big toe should be around a thumb width. If there isn’t, you’ll need to size up! (According to one research, up to 90% of people wore shoes that were too small for them.)
  • Calf muscles should be stretched on a regular basis.
  • Strengthen your foot’s intrinsic muscles. One of our skilled physiotherapists will be able to create a personalised rehabilitation plan for you.
  • To support your arches, use an off-the-shelf orthotic or a’metatarsal pad.’ The majority of pharmacies sell these.

We will be able to confirm the right diagnosis if you visit one of our highly specialised physiotherapists. A diagnostic ultrasound scan may be used to distinguish between Morton’s neuroma and other conditions that can appear similarly, such as bursitis, plantar plate injuries, and stress fractures of the foot. We’ll also look at your foot biomechanics, how you walk, and how strong your muscles are.

If Morton’s neuroma is not treated, it might cause pain for a long time. If the nerve gets inflamed and swollen, it may not respond to conservative therapy and may require intervention, such as an injection or, in rare cases, surgical excision.

What is morton’s neuroma pain? 
The nerve between the bones of the forefoot will thicken as it becomes irritated. Unfortunately, this leads the nerve to become even more compressed and impinged, and the pain frequently worsens as a result. When patients walk for lengthy periods of time, they frequently experience pain. The pain can become rather continuous as the nerve becomes increasingly inflamed, and it can even shoot into the toes.

A strong ache in the front of the foot is one of the symptoms. The shoe is frequently characterised as having a stone or something sharp in it. Impact is frequently exacerbating the discomfort; for example, runners can experience excruciating pain every time their foot meets the ground.

How long does Morton’s neuroma take to settle? 
Unfortunately, Morton’s neuroma pain can last a long time, especially if the person has substantial biomechanical difficulties or engages in a lot of impact activity while wearing sub-optimal footwear, such as shoes that are too tight for them.

What is the best way to treat morton’s neuroma? 
The first step would be to rectify the mechanics of walking and running. We’d look at the relationship between muscle length and strength and consider orthotics. Depending on how swollen the nerve has grown, an injection may be required, and in some situations, surgical intervention may be required.

At Joint Injections, we can perform a comprehensive foot examination. A diagnostic ultrasound scan is used to confirm the proper diagnosis. If the symptoms do not improve, we may recommend an injection of steroid and local anaesthetic (under ultrasound supervision) to relieve the pain and inflammation around the nerve.

 
 

Joint Injection’s experts are dual-trained, highly specialised physiotherapists and musculoskeletal sonographers with extensive experience diagnosing all foot and ankle disorders. We provide a ‘one-stop’ clinic, which means you’ll get an examination, a diagnostic ultrasound, and, if necessary, an ultrasound-guided injection.