Posted by Kent Todd C. Ped. on June 06, 19100 at 16:19:13:
In Reply to: Mortons Neuroma? posted by Leslie Boss on May 27, 19100 at 22:22:10:
: Maybe someone here can help me. I am a 36 year old woman
: who has been suffering from extreme foot pain for over 1.5 years
: About five years ago I had a bunion removed from the outside
: of my foot, then fractured the area after the pin was removed.
: Two years later I had a cyst removed from the same foot that was
: applying pressure to a nerve in the foot. Now, for the past 1.5
: years I have been experiencing symptoms common to Mortons Neuroma.
: In the beginning when I was diagnosed I was given several shots
: of cortisone to no avail. I tried magnetic therapy to no avail
: and 14 treatments of accupuncture to no avail.
: Recently the foot has become very inflammed, very painful and
: severely bruised. The second and third toe are effected the most
: in this case. The second toe is extremely painful and common xrays
: show there is a tight closeness between the second and third toe bones.
: My doctor planned surgery but after considering the amount of swelling
: thought it best to have an MRI done first. Considerations of stress
: fracture were also taken into consideration. The MRI came back with
: results of no fracture and no neuroma. Swelling was considerable between
: the second and third toe's only. Still the pain from stepping on even
: the smallest pebble is present, simple manipulation and stepping is sheer
: pain and the bruising is ever present if even only by shadows at times.
: I am on anti-inflammatory pills and pain killers and still no answers as
: to what this could be. Could the MRI have been taken at a wrong angle to
: show a neuroma deeper in my foot, or hidden?
: What else could it possibly be????????? Please help.
: Leslie
Despite the Dx, I would still treat your foot as if you had a neuroma. I would suggest a good wide shoe with a broad toe box. A cushioned, soft insole with a metatarsal pad would also be helpful in relieving pressure on the affected area. Lynco insoles are going to be the softest over-the-counter insoles that I can suggest. If you have access to a cetified pedorthist, perhaps he/she could make custom orthotics that would offer more cushion.