منتدى Rehabilitation Team

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إدارة المنتدى: عامر صدقة
منتدى Rehabilitation Team

    MORTON’S NEUROMA

    شاطر
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    hamza
    عضو فعال
    عضو فعال

    ذكر عدد الرسائل : 67
    العمر : 30
    تاريخ التسجيل : 14/07/2008

    MORTON’S NEUROMA

    مُساهمة من طرف hamza في الثلاثاء ديسمبر 01, 2009 12:26 pm

    MORTON’S NEUROMA
    General

    Definition: Irritation and degeneration of the digital
    nerves in the toes producing a painful mass near the
    area of the metatarsal heads. The mass is secondary
    to the nerve fibrosing.

    More commonly between the second and third, and
    third and fourth digits

    Females > males

    Clinical

    Sharp shooting forefoot pain radiating to the affected
    digits. Dysesthesias and numbness is common

    The exam is performed by applying direct pressure
    in the interdigit web space with one hand and
    then applying lateral and medial foot compression
    to squeeze the metatarsal heads together. Isolated
    pain on the plantar aspect of the web space is consistent with Morton’s neuroma

    Imaging

    None needed

    Treatment

    Shoes with a soft sole and wide toe box
    Accommodative padding: Metatarsal pad
    Injection: Corticosteroid and lidocaine may be diagnostic and therapeutic

    Surgical: Excision if indicated

      الوقت/التاريخ الآن هو الجمعة أكتوبر 19, 2018 5:16 am