A 36-year-old female patient complains of foot pain when she wears high heels. There is no history of trauma or arthritis. On physical examination, there is tenderness at the space between the third and fourth metatarsal bones
Foot x-ray shows no evidence of stress fracture. This history is typical of:
A. Plantar fasciitis
B. Morton's neuroma
C. Achilles tendonitis
D. None of the above
ANS: B
Morton's neuroma, also called interdigital neuroma, is actually not neuroma but rather fibrous tissue thickening along digital nerves, typically in the space between the third and fourth intermetatarsals. They occur most frequently in women and may be associated with footwear, such as heels. Most common is localized pain that is increased with walking and decreased with rest and/or removal of shoes. Palpation often reproduces the sharp pain.
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