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MORTONS NEUROMA

Yes, of course, Morton's Neuroma

(Keywords: MORTONS NEUROMA, MORTONSE NEURALGIE, foot pain, metatarsalgia )



GOOGLE TRANSLATE:



MORTONSE NEURALGIE





A Mortons neuroma (Morton's) is caused by an irritation of the nerves the runs between the so-called metatarsals , the five little bones that connect your midfoot to the toes. Foot pain with a CAPITAL F!



What causes this irritation, that is the question? There are seemingly multiple causes:

  1. Obesity. Simply put, more weight on the bones of the forefoot than they were designed to carry. It is mysterious: why do the overweight choose pain and disability over weight-loss? I too don't get it.

  2. Old injuries to the foot and ankle. Possibly they were not properly cared for, or simply serious injuries that must surely leave their mark.

  3. Tight fitting shoes. These put pressure on the metatarsals, forcing them too close together, irritating the interdigital nerves.

  4. High-heeled shoes. Here there is no simple answer as some women claim, probably justifiably, that they have less back pain in high heeled shoes, than a low heel. Having said that, shoes which force more weight onto the forefoot are more likely to cause Mortons neuromas.

  5. Almost invariably, the toes jut upwards, callus forms under the ball of the foot, and a Morton's neuroma is the result.

  6. In practice one finds sunken arches, fixations of the little bones in the foot, often the cuboid and one of the cuneiforms, muscle weakness and overly tight plantar fascia. The foot is complex.





Symptoms

Mortons neuromas hurt, and sometimes they hurt a lot. Nerves are the most sensitive tissue in the body, and nerve pain = PAIN!

You may experience

  • Tingling

  • Pain in the toes and forefoot

  • A burning sensation

  • Ultimately it leads on to numbness that may need to be distinguished from a Polyneuropathy and Diabetes.

  • A feeling that there is 'something' in the ball of the foot. Indeed there may be, a Morton's neuroma. See the 'nerve swelling' in this picture below (in red)?


Chiropractic management

As in all conditions, your doctor of chiropractic will look for the cause, rather than focus on the symptoms. It will probably be in the foot, but yes it could be as remote as the Sacroiliac joint . It is only very rarely, never??, that surgery is needed. It is not often that chiropractic treatment of Mortons neuroma fails. I confess to having no research at hand, but I love to treat Morton's neuroma.

Treatment includes inter alia:

  1. Adjustment of the fixated joints. This may be painful, particlarly the toes (MT-P joints).

  2. Mobilisation of the metatarsals.

  3. Adjustment of the tarsal bone fixations, most frequently one of the cuneiforms and/or cuboid.

  4. Stripping of the plantar fascia.

  5. Rehab exercises.

  6. Orthotics. Here I confess I have little faith in.

  7. Carefully checking the Achilles tendon and particularly the Soleus muscles, but frankly all the muscles in the lower leg.

METATARSALGIA

Pain under the ball of the foot, due to a dropped transverse arch, goes hand in hand with a Morton's neuroma. The key sign is build up of thick skin under the ball of the foot. Read more about Metatarsalgia … FOOT PAIN

ANKLE JOINT PAIN CASEFILE

This lady fell down the stairs when she was 25 years old, and fractured her ankle severely. Despite 5 operations she was only able to walk on her toes. The result: the original ankle injury + severe Mortons neuroma pain in the forefoot. This CT scan was taken 5 years after the injury. Can Chiropractic manage such a severe injury? Read more...





ANKLE JOINT PAIN CASEFILE ...

NUTRITIONAL CORNER

I must say that I have little specific nutritionally to say about a Mortons neuroma except that it is a neurological condition so the B complex vitamins are vital. Do you know the story of the discovery of vitamins, in fact it was Thiamine, vitamin B1? Fascinating read... the long and the short of it, is don't eat white rice; the rich man and his chickens got beri-beri, but the poor man and his family, including his chickens lived on... GENERALISED MUSCLE WEAKNESS - the Thiamine story. Whole grains, walnuts, green leafy vegetables like BROCCOLI WALNUT SALAD ... great flavour in any case.

And of course if you are significantly overweight, your hips, knees and feet will always complain. Save your life, literally, and get it off. FREE WEIGHT LOSS PROGRAMS ...

Useful Links

  • TINGLING IN FEET AND LEGS

  • Foot pain

  • Heel spur : PLANTAR MYOFASCITIS ...

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    • MORTONS NEURALGIA

    Did you find this page useful? Then perhaps forward Mortons Neuralgia to a friend suffering with foot pain.


    This site is not intended to diagnose, treat, cure, or manage any illness. Please consult your chiropractor.

    The information is to the best of my ability at the time of writing accurate and correct. Queries, comments and corrections are very welcome.

    SBI
    SBI!

    HILTON CHIROPRACTIC CLINIC



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