Morton’s neuroma
Definition
Also known as plantar neuroma, Morton’s metatarsalgia or neuralgia.
It is a non-invasive inflammation and pain of the nerve supplying the metatarsals of the foot. Most commonly known to occur between the second and third metatarsal spaces of the metatarsal heads.
It is characterised by pain, numbness and might be relieved when the footwear is removed. Many sources see it as a perineural fibroma and not a true tumour. (Wikipedia, 2014)
It is because fibrous tissue around the nerve develops and becomes irritated and inflamed and mostly causes bad pain on the ball of the foot and at the base of the toes. (Nhs.uk, 2014)
Occurrence
Morton’s neuroma can occur in both feet or only one foot may be affected. (Nhs.uk, 2014)
It also occurs more in women aged 30 to 50 because of shoes not fitting correctly. May also occur between the forth and third metatarsal space. (Terence Vanderheiden, 2014)
(Carolinafootspecialists.net, 2014)
Signs and symptoms
The usual complaint is pain that starts at the ball and shoots into the affected toes of the foot. Some people only have pain in the toes. Some people may complain about a burning or tingling sensation in the toes. Symptoms are usually felt on the sides of the space between the toes. An example of this is when the nerve between metatarsals three and four of the right foot are affected the
The most common reason for Mr. Haley’s foot pain would be diabetic peripheral neuropathy. This is nerve damage associated with diabetes mellitus that results from diabetic microvascular injury involving small blood vessels that supply nerves. Macrovascular conditions related to diabetes also play a role in the cause of diabetic neuropathy. In order to deal with the foot pain, the internist probably prescribed one of the two FDA recommended drugs for diabetic neuropathy. These drugs are Cymbalta
I have trench foot and no longer can feel my feet. Well, it mainly feels numb, but sometimes I feel immense pain which
assess, diagnose and treat abnormalities and diseases related to the foot and lower limb in people of all ages
Plantar Fasciitis is the most common cause of heel pain. Plantar fascia is a flat band of tissues that connects your heel bone to your toes. It also supports the arch of your foot. If you happened to strain your plantar fascia, it will get weak, swollen, and inflamed that will make your heel or the bottom of your foot to hurt when you walk or stand. It is common to older people and those who uses their feet a lot like soldiers and athletes.
There is a soft tissue mass to the left lateral ankle overlying the sinus tarsi, consider with lipoma.
There is no edema present or no change in skin color or temperature when compared to the right foot, except for the area of the open wound.
Patient is unable to bear weight secondary to pain and swelling most prominently over the lateral malleolus, although the entire foot is somewhat swollen and hyperemic. He does have an ecchymotic area inferior to the lateral malleolus. Active range of motion. He is weak on dorsiflexion with adequate but somewhat diminished active range of motion on plantar flexion. He also demonstrates weakness on eversion and inversion although weaker with resisted inversion. On palpation, he is tender most prominently on the lateral aspect of the foot over the lateral malleolus not well localized with prominent tenderness over the ATFL and CFL, although
If it feels like you have pebbles in your shoes when you walk, you could have plantar fasciitis. Your plantar fascia connects your heel to your toes. It runs along the bottom of your foot, so when it is inflamed and tender, walking is painful. It often feels like you're walking on sharp rocks. You can have plantar fasciitis in one foot or both of them at once. This condition often takes a long time to heal, and that makes it difficult to go about your daily activities. Here are some things you can do to help relieve the pain and help your feet recover faster.
Based on the progress report dated 04/05/16 by Dr. Fieser, the patient complains of pain in the left knee, left ankle and left foot, associated with numbness and tingling in the left leg/foot, as well as weakness in the left leg. He describes the pain as sharp, cutting, throbbing, dull, aching, pressure-like, cramping, shooting and shocking with muscle pain and pins-and-needles sensation.
However, there was no significant difference in tactile acuity between the involved (15.69 ± 11.02) and uninvolved (11.58 ± 7.40) mid-foot as well as between the involved (12.38 ± 8.49) and uninvolved (11.20 ± 7.47) forefoot. There was also no significant difference in plantar fascia thickness measured [prone in subtalar joint neutral (STJN), prone STJN with all toes dorsiflexed, and standing in STJN] between involved [2.86 ± 0.95, 3.04 ± 1.36, and 3.27 ± 1.25] and uninvolved feet [3.10 ± 0.94, 3.31 ± 1.03, and 3.54 ± 0.99] respectively. All plantar fascia thickness measured less than 4 mm, indicating that there is no longer local tissue pathology. Moreover, no significant differences in ankle dorsiflexion or in mean great toe extension between involved and uninvolved feet were noted. Finally, there were also no significant differences found in pain pressure threshold between the most painful sites of the involved (5.91 kp ± 3.08 kPa) versus the uninvolved (11.98 kp ± 13.46 kPa) foot as well as between the hand web space of the involved (7.31 kp ± 5.50 kPa) versus the uninvolved (5.04 kp ± 2.61 kPa)
Foot drop occurs due to one or a combination of the three categories: Muscle damage, Skeletal or anatomical abnormalities affecting the foot, and Nerve damage. Underlying medical problems that may cause drop foot include but are not limited to compartment syndrome, a lower back condition, a stroke or tumor, Parkinson’s disease, diabetes, motor neuron disease, multiple sclerosis, adverse reactions to drugs or alcohol, or an injury to the foot or lower leg. The patient may be with or without any symptoms of foot pain or leg pain. If pain is present, they may have neurological symptoms such as tingling or burning, ranging from a slight tingling sensation to a complete lack of feeling in the
Plantar fasciitis is a painful foot condition that affects the heel. It occurs when the band of tissue that connects the toes to the heel bone (plantar fascia) becomes irritated. This can happen after exercising too much or doing other repetitive activities (overuse injury). The pain from plantar fasciitis can range from mild irritation to severe pain that makes it difficult for you to walk or move. The pain is usually worse in the morning or after you have been sitting or lying down for a while.
The main symptoms of this condition are pain and deformity of the toe. The pain is worse when wearing shoes, walking, or running. Other symptoms may include:
The patient’s heel spur was rather large, where it would cut into the plantar fascia ligament triggering her tangible pain.
Another common condition that can affect the ball of your foot is 2nd metatarsal overload syndrome. This happens when your weight is transferred from the ball of your foot, and the pressure is not spread out evenly between your 1st and 2nd MPJs. Instead, all the pressure when you transfer your weight is placed on your 2nd MPJ.