Morton ’s neuroma , also get it on as interdigital neuroma , is a nerve tissue increment in the forefoot between the toe . The growth often leads to a fortune of pain , but is a benignant , non - cancerous condition . Morton ’s neuroma is normally found between the third and fourth toe ; however , on rarefied occasions can also be found between the third and second toe . The cause of Morton ’s neuroma is not clear ; however , the annoyance of the regional nerve result to inflammation , mark or neoplasm of the nerve . The symptoms are feel due to irritation of the nerve between the metatarsal .
Does Physical Therapy Help Morton’s Neuroma?
Morton ’s neuroma is diagnose base on the history , symptoms , location and physical test . FootX - raymay be ordered to rule out differential diagnosis of stress fracture and on occasion footMRIalso may be ordered to confirm the diagnosing of Morton ’s neuroma .
The intervention plan of Morton ’s neuroma take up with conservative therapy and may involve surgical intervention , if conservative therapy go . The conservative management of Morton ’s neuroma is incomplete without the involvement of physical therapy . A forcible therapist is the serious individual to come near regarding various accommodation and the first one is adjustment in the footwear . Footwear with wide toe corner , soft soles and low cad are the respectable choice with avoidance of in high spirits heels , narrow toe box and non - padded footgear . The habit of wide toe boxwood footgear is advocate to give infinite between metatarsal to avoid their squeezing in the shoes and irritating neuroma further .
Since , the neuroma may be further irritated by position pressure on it and that involves walking too . To nullify this and redistribute pressure from the metatarsal , metatarsal pad are advocate to alter the alignment of the metatarsal heads . This prevents irritation and compression of the interdigital nerves and onto Morton ’s neuroma .
Orthotics serve correct mechanical imbalance of the human foot in guinea pig of matte pes or high arced infantry .
In gain to adjustment in the footgear , physical therapy may postulate contrast therapy , which demand alternate employment of meth inner circle and heating pad to alleviate redness . mystifying tissue massageand stretching exercises increase the tractableness of the ligament as well increase the toe mobility and muscle strengthening of muscularity affected by Morton ’s neuroma . These strengthening exercises help prevent Morton ’s neuroma from recur .
Other build ofphysical therapyincludecryotherapy , ultrasound , and moist heat . These discussion choice are directed towards the dreadful land site to control pain and kindling in the country . These therapy sessions may also let in phonophoresis and iontophoresis to agitate anti - inflammatory medication directly to the painful land site . These handling options are usually helpful for patients who are ineffective to suffer injectant .
strong-arm therapy is not only recreate a polar role in bourgeois management of Morton ’s neuroma , but is also an important part of post - surgical rehabilitation program . Post - operating room , forcible therapy has an integral role in reclamation of the normal activity and range of motion of the muscles along with coalition of ligaments and muscles and their strengthening for proper movement of foot , so that even daily bodily function can be performed .
Pain In Morton’s Neuroma
There have been various possibility regarding the pain stimulate by Morton ’s neuroma and the most probable cause descend is the irritation of nerve due to entrapment of nerve between the metatarsal and ligament due to bone squeezing . This chronic annoying can result to pain in the neck and paresthesias . This irritation of the nerve can be triggered by bust gamey heel or narrow toe shoes , combat injury to the foot , plane pes or eminent arched foot that may lead to exchange biomechanics of the foot .
The pain sensation of Morton ’s neuroma is felt between the toes or the ball of the base and is radiating , sharp , burning , shooting pain that may be accompanied by numbness and prickling of the toe . This champion is aggravated by putting pressure on the foot and relieve by resting the foot . Sometimes , it might be accompanied by a tone of swelling between the toe .
