Morton’s Neuroma - Podiatrist - Annapolis and Stevensville, MD - Eric Harmelin, DPM

Eric_Harmelin_Neuromas_.wmv Watch on Posterous

12.00 Normal 0 false false false EN-US X-NONE X-NONE

Morton’s Neuroma - Podiatrist in Annapolis and Stevensville, MD - Eric Harmelin, DPM

 

Dr. Eric Harmelin of Annapolis Foot and Ankle Center discusses the symptoms, causes and treatment for Morton’s Neuroma.

 

http://www.annapolisfootandanklecenter.com

 

A neuroma is an enlarged, benign growth of nerves, most commonly between the third and fourth toes. Neuromas are caused by tissue rubbing against and irritating the nerves. Pressure from poorly fitting shoes or an abnormal bone structure can also lead to this condition. Symptoms may include sensations of thickness, burning, numbness, tingling, or pain in the ball of the foot. Treatments generally include wearing corrective shoes or orthotics and/or cortisone injections. In severe cases, surgical removal of the growth may be necessary.

 

Morton's neuroma is a thickening of tissues around the nerve that leads to the toes. Morton's neuroma usually develops between the third and fourth toes in response to irritation, such as that caused by wearing high-heeled or narrow shoes, or from trauma. Symptoms may include a burning pain that radiates from the ball of the foot to the toes or numbness in the toes. Conservative treatments usually resolve the pain or progressions of the condition, and range from wearing roomier, lower-heeled footwear or using orthotics to reduce the pressure on the nerve, to injections of cortosteroid medication to reduce swelling and inflammation.

 

Visit our website: http://www.annapolisfootandanklecenter.com

Morton's Neuroma - Podiatrist in Overland Park, KS and Kansas City, MO - Thomas Bembynista, DPM

Bembynista_Neuromas_.wmv Watch on Posterous

12.00 Normal 0 false false false EN-US X-NONE X-NONE

Morton's Neuroma -  Podiatrist in Overland Park, KS and Kansas City, MO - Thomas Bembynista, DPM

Dr. Thomas Bembynista of KC Foot Care discusses the symptoms, causes and treatments for Morton's Neuroma.

http://www.kcfootcare.com

 Morton's Neuroma

Overview

Morton's Neuroma is enlarged nerve that usually occurs between the third and fourth toes, but a neuroma can also occur between the second and third toe.

 

The nerve lies in the subcutaneous tissue, just above the fat pad on the bottom of the foot between the metatarsal bones. The ground pushes up on the enlarged nerve with each step causing the nerve to be pinched between the metatarsal bones causing pain. The nerve normally gets bigger from the pinching and increases in pain as the problem gets worse.

Symptoms

The most common symptom is localized pain between the metatarsal bones on the bottom of the foot. It can be sharp and is worsened by shoes or walking. Many time people have shooting or throbbing pain when they are off their feet.

Diagnosis

Usually it is easy, there is localized pain on the bottom of the foot. Commonly simply palpation to the area elicits pain when we hold the foot and push careful on the area which causes a audible click which is the nerve being pinched between the metatarsal bones.

Treatment

In most causes a mild steroid injection given 1 to 3 times over a few week period this can reduce the pain. If pain persists, chemical neurolysis injections can be used its generally very helpful but may result in slight numbness to the nerve area. In some cases custom orthotics can help also.

Surgery is rarely necessary, The incision is made on top of the foot to prevent a bad scar on the sole of the foot this also allows for early weight bearing after surgery, this can be performed in the office or outpatient. Complications are rare, but the nerve can redevelop.

 

 

 

Visit our website:  http://www.kcfootcare.com

Morton’s Neuroma - Podiatrist in Lake Success and Valley Stream, NY

12.00 Normal 0 false false false EN-US X-NONE X-NONE

Morton’s Neuroma - Podiatrist in Valley Stream and Lake Success, NY

 Dr. Mleczko of Long Island Podiatry Group discusses the symptoms, causes and treatments for Morton’s Neuroma

http://www.LIPods.com

 

A neuroma is an enlarged, benign growth of nerves, most commonly between the third and fourth toes. Neuromas are caused by tissue rubbing against and irritating the nerves. Pressure from poorly fitting shoes or an abnormal bone structure can also lead to this condition. Symptoms may include sensations of thickness, burning, numbness, tingling, or pain in the ball of the foot.  Treatments generally include wearing corrective shoes or orthotics and/or receiving cortisone injections. In severe cases, surgical removal of the growth may be necessary.

 
Visit our website: http://www.LIPods.com

 

[[posterous-content:pid___0]]

 

 

Morton’s Neuroma - Podiatrist Austin TX

Normal 0 false false false EN-US X-NONE X-NONE

Morton’s Neuroma - Podiatrist Austin TX

GolfMortonsNeuroma.wmv Watch on Posterous

Dr. Michael Golf discusses the symptoms, causes and treatments for Morton’s Neuroma.

http://www.michaelgolf.com

Neuromas are enlarged, benign growth of nerves, most commonly between the third and fourth toes. Neuromas are caused by tissue rubbing against and irritating the nerves. Pressure from poorly fitting shoes or an abnormal bone structure can also lead to this condition. Symptoms may include sensations of thickness, burning, numbness, tingling, or pain in the ball of the foot.Treatments generally include wearing corrective shoes or orthotics and/or cortisone injections. In severe cases, surgical removal of the growth may be necessary.

Morton's neuroma is a thickening of tissues around the nerve that leads to the toes. Morton's neuroma usually develops between the third and fourth toes in response to irritation, such as that caused by wearing high-heeled or narrow shoes, or from trauma. Symptoms may include a burning pain that radiates from the ball of the foot to the toes or numbness in the toes. Conservative treatments usually resolve the pain or progressions of the condition, and range from wearing roomier, lower-heeled footwear or using orthotics to reduce the pressure on the nerve, to injections of cortosteroid medication to reduce swelling and inflammation.

Visit our website: http://www.michaelgolf.com

Morton’s Neuroma Treatment - San Francisco Podiatrist Union Square CA

Normal 0 false false false EN-US X-NONE X-NONE

Morton’s Neuroma Treatment - San Francisco Podiatrist Union Square CA

MetaxasNeuromas.wmv Watch on Posterous

Dr. Bill Metaxas discusses the symptoms, causes and treatments for Morton’s Neuroma.  

http://www.footankleinstitutesf.com

MORTON'S NEUROMA

The term "neuroma" means a "tumor of a nerve". It is an abnormal growth of cells within a nerve, and the majority of them are benign, but a few rare tumors are cancerous. These true neuroma's generally occur in the larger nerve trunks of the ankle and lower leg, and in other parts of the human body. They can occur in the smaller nerves of the foot, but this is very uncommon.

Over 100 years ago, a British physician named a benign tumor of the foot after himself and called it "Morton's neuroma". Modern medicine has shown that this tumor, which most often occurs between the bases of the 3rd and 4th toes, should be more accurately termed "perineural fibrosis" because it is a build up of scar tissue (fibrosis) around, not within, the small nerves between the metatarsal heads. This scar tissue becomes enlarged and causes compression on the nerve, which results in decreased blood and oxygen to the affected nerve segment, resulting in pain. This neoplasm or tumor can occur between any of the metatarsal heads of the foot.

Causes

Morton's neuroma, or perineural fibrosis, is caused by local irritation of a segment of a nerve in the front part of the foot which rubs up against a thick ligament beneath the metatarsal heads. There is an initial inflammatory reaction resulting in scarring or fibrosis around the nerve segment. As this scarring enlarges, compression of the nerve segment occurs. Flat-feet, high arched feet, high heel shoes, narrow shoes, pointed shoes, and certain repetitive physical activities can result in the formation of a Morton's neuroma. Frequently as this type of tumor enlarges, patients will experience pain and then remove their shoe and massage the foot, which will temporarily relieve the symptoms.

Symptoms

• Sharp or achy pain in the front part of the foot at the base of the toes.
• Numbness, tingling, or a "pins and needles" feeling of the toes.
• A sensation of feeling a "lump" on the bottom of the forefoot.
• A feeling as if the sock is "bunched up" beneath the foot.
• Feeling a "clicking" sensation when walking.
• No signs of redness or swelling.

Treatment

A proper history and physical examination by your Podiatric physician is necessary to be sure that the diagnosis is accurate. Other conditions such as arthritis, synovitis, tendinitis, metatarsalgia, or other types of tumors may mimic the symptoms of Morton's neuroma.

Certain diagnostic tests such as Ultrasound or an MRI may be necessary to clearly make the diagnosis of Morton's neuroma.

Traditional conservative medical treatments include changes or modifications of shoe gear, orthoses, injections, foot padding, and the use of anti-inflammatory medication. Many of these treatments will provide temporary relief, but since we have no way of reversing the scar tissue formation, then ultimately surgical treatment by a Podiatric surgeon may be necessary in order to alleviate the symptoms.

 

Visit our website: http://www.footankleinstitutesf.com

Treatment for Tarsal Tunnel - Podiatrist in San Antonio, Live Oak and Stone Oak, TX

EddieDavisTarsalTunnel.wmv Watch on Posterous

Normal 0 false false false EN-US X-NONE X-NONE

Treatment for Tarsal Tunnel - Podiatrist in San Antonio, Live Oak and Stone Oak, TX

Dr. Ed Davis discusses the symptoms, causes and treatment for tarsal tunnel syndrome.

http://www.southtexaspodiatrist.com

Tarsal tunnel syndrome is one of the more common of the less common causes of heel pain. The posterior tibial nerve is the main nerve to the bottom of the foot, its fibers taking origin from nerve roots L5, S1. The posterior tibial nerve travels through a canal along the inside of the ankle on its way to the sole of the foot. It is most likely to become squeezed or entrapped in that canal, the canal also being known as the tarsal tunnel.

The posterior tibial nerve has two main branches that give sensation to the bottom of the foot, the medial plantar nerve and the lateral plantar nerve. There are some small branches given off from the posterior tibial nerve before it splits into its main two branches known as the medial calcaneal nerves. Uncommonly, the medial calcaneal nerves themselves can become entrapped causing pain right on the bottom of the heel.

The first branch that comes off the lateral plantar nerve is sometimes called "Baxters nerve" and can become entrapped by itself, causing pain at the base of the heel. This is termed "Baxter's neuritis" and its existence is somewhat controversial and unproven.

Pressure or entrapment of the posterior tibial nerve (tarsal tunnel syndrome) can be caused by scar tissue or by "growths" pressing up against the nerve. It has been estimated that as many as 30% of such growths include varicose veins in the tarsal tunnel. Other "growths" may include ganglions (fluid filled cysts) or other tumors, but rarely maligancies.

Testing for tarsal tunnel syndrome often includes an NCV, nerve conduction velocity test. If tarsal tunnel syndrome is found, an MRI may be ordered to look for the existence of a growth which may be pressing up against the nerve.

Visit our websites:

http://www.southtexaspodiatrist.com

http://www.heelpain.pro

NYC Plantar Fibroma Surgery - Manhattan Podiatrist

Normal 0 false false false EN-US X-NONE X-NONE MicrosoftInternetExplorer4

NYC Plantar Fibroma Surgery - Manhattan Podiatrist

IssacsonExcision_PlantarFibroma.wmv Watch on Posterous

 

Manhattan podiatrist Dr. Ernest Isaacson performs plantar fibroma surgery.

http://www.doctorisaacson.net

Plantar fibromas are benign tissue tumors or growths on the plantar, or bottom surface of the foot. Unlike plantar warts, which grow on the skin, these grow deep inside on a thick fibrous band of ligaments, called the plantar fascia. The presence of the tumor can cause pain or pressure on other parts of the foot structure that can lead to other foot problems.

Nonsurgical measures used in treating plantar fibromas often fail to provide adequate relief of symptoms. At the same time, surgical correction can lead to further complications, such as plantar nerve entrapment or larger and recurrent fibromas that may be worse than the original problem.

A relatively new procedure applies cryosurgery to freeze and shrink the tumors and is gaining in popularity. This short, outpatient treatment causes minimal to no postoperative pain or disability. Patients return to wearing regular shoes within 24 to 48 hours after cryosurgery.

Visit our website: http://www.doctorisaacson.net