What is Morton's neuroma?
Interstitial neurinoma of the foot (the Morton's neuroma) is a benign neoplasm of the myelin sheath of the nerve end between the second and third phalanges of the toes.
Features of the disease
In most clinical cases, the disease is diagnosed in women. Among the most probable causes of pathology development, experts point to a chronic or acute trauma to the foot. Of particular importance in this regard is the long wearing of tight shoes with high heels, which provokes an increased pressure of the foot bones on the nerve endings.
The main clinical symptom of this pathology is pain, which in the beginning of the illness worries a woman after being in an upright position. Over time, the pain sensations increase and are of a pulsating nature. Often, patients complain of a feeling of unbearable burning sensation in the foot.
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Diagnosis of the disease occurs, mainly during a therapeutic examination. The doctor finger squeezes the foot and the patient begins pain in the pathological area 30-60 seconds later. Such techniques as computer and magnetic resonance imaging are used as auxiliary diagnostic methods.
Therapy of this ailment is carried out in two ways:
- Conservative method - such treatment is allowed only at the initial stages and includes wearing a special Orthopedic shoes, the appointment of non-steroidal anti-inflammatory drugs and injections of analgesic preparations.
- Surgical operation - the purpose of surgical intervention is to eliminate the traumatic factor and excise the tumor.
What are the health consequences of Morton's neuroma?
Morton's neuroma in the absence of treatment can result in disability of the patient through loss of motor function. Surgical removal, as a rule, involves the removal of a benign neoplasm together with a part of the nerve fiber. Such intervention involves postoperative loss of sensation or numbness of the skin in the area of the second and third fingers.
In oncologic practice, there is also a little traumatic variant of the operation in which the doctor cuts the intercellular ligament. As a result of such manipulation, further pressure on the pathological focus is excluded and the disease passes into the stage of remission. This operation is indicated for small tumor sizes and is performed in outpatient settings. This means that the patient does not need hospitalization.
What is dangerous for the foot neuroma?
In most casesneuroma of footdoes not pose a direct threat to the life of the patient. The main complaints at the same time are reduced to attacks of pain and motor function disorders.
Rehabilitation of such patients takes a long time. In the first few months after surgical removal of the tumor or incision of the ligament, doctors do not recommend physical activity on the foot area. After 3-4 months a person can gradually return to normal life. He also needs to undergo preventive medical examination and radiography every year.
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This pathology has a favorable prognosis. This is due to the fact that the benign neoplasm is encapsulated and the complete removal removes relapse.
Positive result of operative intervention is observed with a minimally invasive operation, whenthe Morton's neuromawas diagnosed at an early stage. Later treatment of the patient to specialists requires more extensive intervention and, accordingly, a long period of rehabilitation..