[Thomas George Morton metatarsalgia]

Presse Med. 2007 Jul-Aug;36(7-8):1098-103. doi: 10.1016/j.lpm.2007.01.009. Epub 2007 Feb 20.
[Article in French]

Abstract

Plantar interdigital neuroma, also called Morton neuroma, neuralgia, or metatarsalgia, is a perineural fibrosis that induces severe intermittent pain and paresthesia, most frequently between the third and fourth metatarsal heads. This compression syndrome or entrapment neuropathy involves one branch of the common plantar digital nerves. Diagnosis is based essentially on clinical examination. Imaging techniques may be useful in the diagnosis of atypical cases and postoperative recurrences. In most case, conservative treatment (such as orthotic shoes or devices or injections) is successful. When they do not succeed, surgery (neurolysis, neurectomy) may be considered.

Publication types

  • English Abstract
  • Review

MeSH terms

  • Anesthetics, Local / therapeutic use
  • Anti-Inflammatory Agents / therapeutic use
  • Biomechanical Phenomena
  • Denervation
  • Diagnosis, Differential
  • Foot / anatomy & histology
  • Foot / innervation*
  • Humans
  • Injections, Intralesional
  • Magnetic Resonance Imaging
  • Metatarsalgia* / diagnosis
  • Metatarsalgia* / etiology
  • Metatarsalgia* / therapy
  • Nerve Block
  • Nerve Compression Syndromes* / diagnosis
  • Nerve Compression Syndromes* / etiology
  • Nerve Compression Syndromes* / therapy
  • Orthotic Devices
  • Physical Examination
  • Shoes
  • Tomography, X-Ray Computed
  • Ultrasonography

Substances

  • Anesthetics, Local
  • Anti-Inflammatory Agents