Monthly Archives - July 2012

Morton’s Neuroma

mortons neuroma

Morton’s Neuroma presents as Pain in the ball of the foot, or shooting pain in the toes. This condition has several similar names, Mortons Metatarsalgia, Morton’s Neuralgia, Plantar Neuroma and intermetatrsal Neuroma.

Pain is caused by a thickening of the perineural sheath which surrounds the nerve, the anatomical structure is similar to that of the plastic coating seen on electrical wires. Typically this is characterised by numbness and shooting pain into the toes and burning sensations on the ball of the foot which are exaggerated by walking and or exercise.

Signs and Symptoms

  • Paraesthesia.
  • Burning sensation.
  • Shooting pains.
  • Pain on weight bearing.
  • Numbness.

Other diagnosis of shooting pains in the toes include; Diabetes, Anaemia and Radiculopathy, so it is very important to seek advice from a foot specialist if you develop any of these symptoms.

Diagnoses:

  • Direct pressure applied between the metatarsal heads should replicate the symptoms.
  • Forefoot squeeze test known as a mulder’s click can produce a audible click and pain
  • An ultrasound examination is used to see the thickening of the nerve and X rays may be requested to rule out differential diagnosis such as stress fractures.

How can our team help you if have a Neuroma?

During your initial consultation, our podiatry team will assess your foot and provide you with a clinical diagnosis. An Ultra sound examination or MRI may be requested. Once your Podiatrist has made a clinical diagnosis, you will be provided with a treatment plan which may include the following:

Treatment:

  • Gait analysis / Biomechanical Examination
  • Orthotics to open out metatarsals pressing the nerve and reduce the mechanical load.
  • Footwear advice.
  • Padding or Strapping.
  • One or more Corticosteroid injections.
  • If conservative treatments fail, patients may be referred for surgical intervention.

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Clinic locations:

Appointments are available at Earlsfield and Maidenhead clinics.  *On-site diagnostic ultrasound is available at Earlsfield and Maidenhead clinical locations.

How to book:

Click the following link to schedule your consultation online 24/7:  BOOK ONLINE.  Alternatively, speak to our friendly booking team between 9am-5pm Monday-Saturday: 020 7164 6607

Insurance and Fee’s:

We accept most major private medical insurance companies including BUPA, Vitality, WPA, Cigna, AVIVA and Simply Health. A full list of our consultation fee’s including self-pay can be found here:  Insurance and Fee’s. Our Podiatry team are health care professional council registered, meaning they are required to maintain professional standards and continued professional development. As an organisation we have invested in the latest diagnostic technology in order to help our podiatry team, help you. We have onsite diagnostic ultrasound available at Maidenhead and Earlsfield clinics. Infra-red pressure analysis available at Maidenhead and Earlsfield clinics with treadmill examinations.

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