Interdigital Neuroma Symptoms & Diagnosis

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Interdigital Neuroma Guide

Alison Beaver Guide

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Symptoms

Symptoms of Morton's neuroma include the following sensations, usually between the third and fourth or (less often) second and third toes:

  • Burning, pain, tingling, and numbness often shooting into the toes
  • Discomfort that is worse while walking
  • Feeling of a lump between the toes
  • Symptoms are usually temporarily relieved when a person:
    • Takes off their shoes
    • Flexes their toes
    • Rubs their feet

Diagnosis

The doctor will ask about your symptoms and medical history, and perform a physical exam. Initial diagnosis of Morton's neuroma is based on your description of the type and location of pain and discomfort in the foot. The diagnosis will be confirmed by:

  • Physical exam of the foot, including:
    • Checking for mechanical abnormalities in the foot
    • Squeezing the side of the foot, doing so will usually cause pain when Morton's neuroma is present
  • Examination of your shoes to:
    • Check for excess wear in parts of the shoe
    • Check to see whether the shoes are too tight
  • If the diagnosis is still in doubt, an x-ray may be done to rule out another cause of the pain (eg, fracture)
  • An ultrasound may be used to visualize the neuroma
  • Injections of local anesthetic can be used for diagnosis

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