Smaller toe condition

Smaller toe condition

Brachymetatarsia

Morton neuroma
It is a swelling and inflammation of the nerve between metatarsal bones and toes,
which is caused by external pressure on the nerve. Incorrectly, it may be called a
nerve tumor. In fact, only swelling of the nerve causes a feeling of pain, which is
mostly a result of strike, wearing tight shoes, and so on.

Symptoms and diagnosis of the disease
The symptoms of Morton’s neuroma includes paresthesia, numbness in toes, pain
and burning. The most common location of inflammation is between the middle
and fourth toes, but the index is also involved. Diagnosis is usually done through
physical examination. Sometimes an MRI (Magnetic Resonance Imaging) may be
needed.

Selected treatments
The goal of treatment is to reduce the pressure on the nerve and includes the
following ways:
Using wide toe box orthopedic shoes
Avoid using high heels
Using shoe pads
Injecting corticosteroid in the affected location

With these treatment methods, the symptoms reduce. If the methods did not work,
there may be a need for surgery to remove the inflamed nerve. If the surgery is
performed, the patient's pain will be reduced but the numbness of the fingers will
be permanent.

Mallet toe
Unlike hammertoe, it involves several toes. In this condition, the joint of the toe
buckles down and it will become difficult for the patient to wear shoes. The disease
is often a result of another underlying disease or neurological problem. Mallet toe
appears following joint and muscle disease, such as rheumatoid arthritis and lupus
that cause joint damage and deformity.

Neurological causes includes:
Diabetes
Diffuse neurological disease
Nerve damage caused by spinal cord problems
Complications of stroke
Severe leg trauma that causes nerve and muscle damage

Symptoms and diagnosis of the disease
Following a deformity and curvature of the toes, the patient may feel pain in
his/her toes and have difficulty wearing shoes.

Non-surgical treatment
Using open toe and wide toe box shoes to reduce finger pressure
Using taping the side toes by using special pads

Surgical treatment
Surgery may be required if you were not treated using the above treatments. The
important point about surgery is to know whether the curvatures of the toes are
flexible or not. If they are flexible, you can treat the disease by manipulating toes.
If the toes are flexible, the toes curvature is usually corrected by releasing
shortened tendon. If not, there would be a need for fusion and of phalanges distales
for treatment.

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