Hi All,
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I had a patient referred via GP with an Ultra sound report which stated " A 6mm mortons neuroma between the 1st and 2nd Metatarsal heads".
Should I take this as gospel? Given the rarity of Neuroma in this space, is U/S conclusive for these lesions?
Could it be a Bursa?
The patients reports intermittent pain, not exacerbated by shoes. The pain is located to the dorsal I/M space, I was able to palpate a tender point in the area identified by the scan.
Anyone any ideas regarding treatment?
If it is a Neuroma, a recent paper I read found nerve lesions 6mm or greater failed to respond to injection therapy. Would surgical removal be the treatment of choice?
By the way I tried an over the counter orthotic.
Thanks in advance for any pearls!
David
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