Minos Ε. Tyllianakis MD, PhD

Morton (or Morton’s) neuroma is common in women. The typical complaint is pain on the plantar aspect of the foot related with tight shoes radiating to the toes like a shock of electric wave. The cause is a benign hypertrophy of the common interdigital nerve. Diagnosis is not easy and sometimes remains unclear despite the use of appropriate clinical tests and MRI examination.

Spontaneous resolve or remission has been noted. It is therefore recommended the use of special insoles and intermittent administration of anti-inflammatory drugs in early stages. In refractory cases operative resection of the affected nerve is chosen. Some people may notice a slight residual numbness of the interdigital area which is never a real problem.

Spinal or regional anaesthesia is used. The skin incision is dorsal or plantar. Weight bearing is allowed immediately. Recurrence, although noted, is uncommon.