Morton's test, also known as Morton's neuroma test, is a clinical examination used to diagnose Morton's neuroma, a condition characterized by the thickening of the tissue around the nerves in the toes, typically between the third and fourth toes. The test is performed to assess the presence of pain and discomfort in the affected area.
What is Morton’s Neuroma?
Morton’s neuroma is a benign growth of nerve tissue that develops between the toes, usually between the third and fourth toes. It is caused by the compression or irritation of the nerve, leading to the formation of scar tissue around the nerve. This condition can cause sharp, burning, or shooting pain in the toes, as well as numbness, tingling, or a feeling of walking on a pebble.
Symptoms of Morton’s Neuroma
The symptoms of Morton’s neuroma can vary depending on the severity of the condition. Common symptoms include:
- Sharp, burning, or shooting pain in the toes, usually between the third and fourth toes
- Numbness or tingling in the toes
- A feeling of walking on a pebble or a lump
- Pain or discomfort when wearing tight or high-heeled shoes
- Pain or discomfort when walking or standing
Morton’s Test Procedure
Morton’s test is a simple and non-invasive examination that can be performed in a clinical setting. The test involves the following steps:
- The patient is asked to sit or lie down in a comfortable position.
- The healthcare provider palpates the toes, starting from the base of the toes and working their way down to the tips.
- The healthcare provider applies pressure to the toes, using their thumb and index finger to compress the toes together.
- The patient is asked to report any pain or discomfort during the examination.
Interpretation of Morton’s Test Results
A positive Morton’s test result is indicated by the presence of pain or discomfort in the affected area when pressure is applied. The pain or discomfort may be sharp, burning, or shooting, and may radiate to the adjacent toes. A negative test result is indicated by the absence of pain or discomfort in the affected area.
| Test Result | Interpretation |
|---|---|
| Positive | Pain or discomfort in the affected area when pressure is applied |
| Negative | Absence of pain or discomfort in the affected area |
Treatment Options for Morton’s Neuroma
Treatment options for Morton’s neuroma depend on the severity of the condition and may include:
- Conservative management, such as rest, ice, and compression
- Orthotics or shoe inserts to reduce pressure on the affected area
- Physical therapy to improve foot mechanics and reduce pain
- Corticosteroid injections to reduce inflammation and pain
- Surgical intervention, such as nerve decompression or neuroma excision, in severe cases
What are the causes of Morton’s neuroma?
+Morton’s neuroma is caused by the compression or irritation of the nerve, which can be due to a variety of factors, including tight or high-heeled shoes, abnormal foot mechanics, and repetitive stress or trauma to the foot.
How can I prevent Morton’s neuroma?
+To prevent Morton’s neuroma, it’s essential to wear comfortable and supportive shoes, avoid repetitive stress or trauma to the foot, and maintain good foot mechanics through regular exercise and stretching.
