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DO YOU HAVE UNDIAGNOSED FOOT SOLE COMPLAINTS?
If you have undiagnosed complaints on the soles of your feet, you may possibly have Morton’s Neuroma.
Morton’s Neuroma disease, in its simplest decription, is a thickening of the nerve between the third and fourth fingers of the foot and the thickening of the nerve into a mass. The nerve that thickens by being squeezed between two decumbent bones creates irritation in that area.
If you have Morton’s Neuroma, where the nerve is damaged, that is, under your foot, and on the part that falls between your 3. and 4. fingers, you may have one or more of the following symptoms:
* Tingling, burning, electric sensation or numbness
* Pain
* A feeling of the presence of something on the ball of the foot (front-bottom)
* The feeling of the presence of something inside the shoe or the fact that the sock is folded
The development of Morton’s Neuroma usually registers the following stages:
* The symptoms start little by little. Initially, it sometimes occurs when narrow-toe shoes are worn or heavy physical activities are performed. These symptoms may disappear temporarily when shoes are removed, feet are massaged, or shoes or activities that will worsen the condition are avoided.
* Symptoms worsen over time and persist for several days or weeks.
* As the mass expands, the symptoms become more intense, and these negative changes in the nerve, which were previously temporary, now become permanent.
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DIAGNOSIS
The first stage in diagnosis is an examination. Throughout the physical examination, we try to identify the symptoms again. For the most part, an examination is sufficient to make a diagnosis. If necessary, we can resort to MRI imaging method.
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NON-SURGICAL TREATMENT
When developing a treatment plan, we first determine how long you have had Neuroma and your stage of development.
From mild to moderate Neuromas, we can list the treatment options as follows:
* Pedling: Pedling techniques provide support for the metatarsal arch of the foot (the area of the scallop bone), thereby relieving pressure on the nerve and reducing the pressure that occurs when walking.
* Cooling: Putting an ice pack on the affected area helps to reduce the swelling.
* Orthotic Instruments: Orthoses recommended by an orthopedic specialist provide support to reduce pressure and pressure on the nerve.
* Change of Activity: Activities that will cause repetitive pressure on the neuroma should be avoided until the condition improves.
* Shoe Change: It may work to wear wide-toe shoes and avoid high-heeled shoes or narrow-toe shoes.
* Medication Treatment: Anti-inflammatory drugs may be recommended to reduce inflammation and pain.
* Injection Therapy: Treatment may include cortisone, local anesthesia, or other active substances.It should definitely be applied by an orthopedic doctor in Turkey.
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WHEN IS SURGICAL INTERVENTION NECESSARY?
Surgical intervention is planned if other methods do not respond adequately. The length of the healing process varies depending on the procedure performed.
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THE HEALING PROCESS
With the latest techniques, Morton’s Neuroma surgery is performed with a mini incision. After the operation, the patient can stand up and walk without support on the same day. He will be discharged the next day.
A special surgical shoe that the doctor will give after surgery should be worn for 2 weeks. normal shoes can be worn after 2 weeks.
Op. Dr.
Specialist in Adult and Pediatric Orthopedics, Antalya MedicalPark Hospital
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