Episode 30-Metatarsalgia and Morton’s Neuoroma

In today’s episode I talk about how to recognize metatarsalgia and Morton’s Neuroma.

They can look alike but are very different.

Here are a few pearls to go by when evaluating the forefoot.

  1. Metatarsalgia is most common between the 2nd and 3rd distal metatarsal heads.
  2. Loss of plantar fat pad can contribute to metatarsalgia
  3. A tight calf increases metatarsal pressure significantly
  4. Calluses at the metatarsals can tell you there is too much pressure there
  5. Metatarsalgia responds extremely well with orthotics to re-establish the transmetatarsal arch and off-load the met heads.
  6. Morton’s Neuroma is most common between the 3rd and 4th metatarsals
  7. Morton’s neuroma can cause tingling in the toes.
  8. MN is made worse by a tight calf.
  9. MN and metatarsalgia are exacerbated by walking on hard surfaces barefooted

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