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Clinical features:
A pain that
increases if you walk and it reduces if you take a rest is present
on the plantar area of foot.
The pain is
“burning” and it can diffuse to toes adjacent to interspace.
Numbness and
tingling are frequent.
Important
differential factors : in metatarsalgia soreness is highlighted
by direct pressure on metatarsal heads; in neurinoma pain is
provoked by pressure between metatarsal heads.
Sometimes it’s
possible to palpate a mass which can be represented by the same
neurinoma or an aassociated synovial cyst.
Fig 1. Morton’s
Neurinoma
1.
Morton’s neurinoma ( junction of third branch of medial plantar
nerve with lateral plantar nerve) can also occur between the
second toe and the third one.
2.
Lateral plantar nerve.
3.
Medial plantar nerve.
4.Tibial nerve.
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