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Not sure of Mortons Neuroma

Discussion in 'General Issues and Discussion Forum' started by lucycool, Nov 10, 2010.

  1. Hey Kirsty.

    What a promising first post!:drinks

    Indeed. If the pain is IM one must consider all of the structures which may be damaged. this will include the IM muscles you mentioned and indeed the intermetatarsal ligament.

    An interesting test besides compressing the mets, is to pull the metatarsals apart and see how much pain is elicited. This will increase the tension on the IM ligaments and structures and decrease compression on the neuroma.

    A very applicable test insofar as many orthotic designs aim to separate the metatarsals.

    Thanks. And welcome.
     
  2. Lee

    Lee Active Member

    Hello Kevin,

    I just thought I would update you on this. It seems that there has been a neuroma drought around here, so I hadn't had a chance to try this until just now. I let the tourniquet go after excising the neuroma (right foot 3/4 IM space) and there wasn't a massive amount of bleeding (ASA grade 1 patient with good vascular supply to lower limb). I cauterised 2 small plantar bleeders which seemed to do the job. 8 minutes on the tourniquet and the cautery took about 2-3 minutes, so no longer than usual. Very easy visualisation of all the tissues and didn't hinder my closure. I'll see how she progresses and if it's as good as I hope I'll be relaying her thanks over to you.

    Thanks for the tip. ;)

    Lee
     
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