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Morton’s Neuroma denotes a swollen inflamed painful nerve classically between the third and fourth metatarsals, radiating into the third and fourth toes (toes are numbered one for the big toe and 5 for the pinky toe).
Luckily, less than 10% of patients do I consider for surgery to remove the nerve if their symptoms do not improve well, but the other 90% can have a rocky road getting their symptoms under control. Neuroma or nerve pain in the foot must be treated at the foot, but it can be caused by irritated nerves from back problems, ankle problems, sciatic nerve problems, and peripheral neuropathies (nerve diseases) from diabetes, B12 deficiencies, etc. I will have another post which will be a checklist of all the treatments you should have tried and failed before surgery is performed.
I have been a podiatrist for 34 years now and I am excited about sharing what I have learned on this blog. Morton Salt's iconic "Umbrella Girl" got a few minor tune-ups for her 100th birthday this week. The Chicago-based company recently revealed a fresh version of the logo, only tweaking the font and and some of the lines in altogether minimal ways.
The company is celebrating the Umbrella Girl's 100-year anniversary with events throughout the year, including 100 parties in 100 cities, Morton Salt Girl day at Wrigley Field and with Facebook and Instagram lookalike contests, the Tribune reports.
Even with our most sophisticated workups on nerve pain, the nerve pain can occur 5+ years earlier than the diagnosis.
But for now, let us focus on what should happen in the first 2 or 3 visits (probably over a 6 week period) with a doctor whose diagnosis is Morton’s Neuroma.
Work on shutting off the nerve painlessly, and as quick as possible, before the symptoms get worse.


The nerve symptoms created can be more like numbness, tingling, buzzing, burning, sock rolled up sensation, etc on one side on the spectrum, to sharp, radiating, and electrical pain at a level 8 to 10 on the pain scale. These are some of the neuromas removed, and yet the patient feels little or no improvement. There are more nerve endings on the bottom of your foot per square inch than any where else on the body. When I first feel symptoms of numbness or pain in the front of your foot, seek immediate help (like reading this blog). I am an old person and don't really care what I wear on my feet, so I gave up my sneakers and started wearing Crocs, for which I had purchased insoles separately. I am very happily married to Patty, and have 2 wonderful sons Steve and Chris, a great daughter in law Clare, my new grandson Henry, and a grand dog Felix.
Today, DuPont products include Kevlar, a fiber often used in body armor, and Teflon, which is often used to coat cookware to prevent food from sticking. One third of all patients only have numbness as the chief complaint, one third have a combo of numbness and some pain, and one third have only pain (lucky them!!) The pain can be so bad that the differential diagnosis could only be a broken bone, however the history of onset of pain does not match up with a fracture, and there is no swelling.
But, there are so many aspects of treatment that the patient can only do like icing, shoe gear changes, add Hapads, start Neuro-Eze, limit pain producing activities (if there is pain), doing daily self massage, etc. Please consult a podiatrist, therapist, orthopedist, or sports medicine physician in your area for specific questions. The original logo design included a ribbon entwined among the letters and the words “Established 1802.” According to the company, these elements were not practical when stenciling the logo onto products and were phased out over time.


When I first got into practice 29 years ago July 1981, 50% of all neuromas diagnosed were surgically removed. It takes about 1 year of treatment in the recalcitrant cases (slow ones) to decide that surgery should be done. Now, less than 10% are surgerized (my own word!!) so medicine is moving in the right direction on this one. Still, an severe burning pain radiated to the top of my second toe -- VERY annoying and restrictive. Before 1948, the dimensions of oval were not standardized, which led to numerous variations. If you are in the unlucky 10% requiring surgery, 50% of you will heal quickly, and 50% will take up to two years to really feel somewhat better (if at all). Interestingly, I dealt with that by applying generous amounts of an anesthetic ointment (there are many; I used BioFreeze), which seems to have solved the problem.
So, 5% or 1 out of 20 patients with nerve pain still have nerve pain to some degree 3 years after I start treating them. Blake - saying that only 5% require surgery simply cannot be true and is certainly misleading to the patients seeking comfort in a very painful foot.



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