Morton’s neuroma is the familiar name for the condition, perineural fibrosis. The symptoms of Morton’s neuroma are pain or inflammation in the ball of the foot, which is exacerbated by any movement that puts weight or strain on the foot.
Although walking is the most common cause of acute inflammation or discomfort for Morton’s neuroma sufferers, the condition is aggravated by any bending of the toes. As such, certain exercises or even sitting positions can result in a flare up.
Progression of Symptoms
Unfortunately for sufferers of Morton’s neuroma, the condition will often become worse if not treated. In the early stage of Morton’s neuroma, symptoms are usually more uncomfortable than painful. However, due to continuous stress on one or more nerves near the metatarsal-phalangeal joint, the pain will increase with time.
The most common areas the condition affects are between the metatarsal heads; specifically the second and third, or the third and fourth. A neuroma is a growth (tumour) which affects the intermetatarsal plantar nerve. Morton’s neuroma is a benign tumour, so there is no risk of cancer.
What Causes Perineural Fibrosis?
The exact cause of perineural fibrosis has not been established; however, there are some consistent factors which are common among most sufferers. More women than men suffer from the condition. Furthermore, women who wear restrictive shoes or heels are more likely to suffer from perineural fibrosis.
High arches, deformities in the toes and feet, or injury are also common factors in sufferers. Those who pursue activities such as contact sports, gymnastics, and athletic sports are also more likely to suffer from Morton’s neuroma.
All of the most common factors in perineural fibrosis point to it being caused by mechanical functions of the foot, which put strain on or damage the nerves. As such, refraining from activities which aggravate the nerve is often an essential part of the treatment process.
There are a number of highly effective treatments for Morton’s neuroma. The first treatment we would recommend is a range of techniques designed to offload the nerves. Deloading tapes, orthotic insoles, and ice treatments are often enough to reduce inflammation and pain from Morton’s neuroma.
For those who are suffering from greater degrees of pain, inflammation, or mobility problems, Step by Step has more advanced treatment options. A cortisone injection into the affected area will reduce inflammation. This treatment allows the nerve time to mend, while also treating the symptoms of pain and discomfort.
For cases of perineural fibrosis which have gone untreated for a long period of time, or are considered extremely severe, the sufferer may require surgery. However, this option will not be considered until all other treatments have been exhausted.
Healing through Chiropody
Step by Step offers professional family foot care. At Step by Step, we design and fit custom orthotics, which are used in the treatment of Morton’s neuroma. Orthotics is a tried and tested form of medical treatment, using artificial devices to correct issues with limbs, muscles, bones, or nerves.
If you are experiencing any of the symptoms of Morton’s neuroma, it is important that you contact our offices right away. Receiving treatment in the early stages of the condition will greatly increase your chances of a speedy recovery.
Every member of our team is friendly and caring. We also have an ethos of protecting the privacy of our patients. Therefore we will treat all your information in complete confidence. If you have concerns about insurance, we may be able to help you understand your coverage. Simply supply our staff with details of your policy ahead of your appointment and we will explain how you can use your insurance to cover the cost of treatments.