Nailpro - March/April 2020 - 50

NAIL CLINIC

BY LINDA KOSSOFF

Fire in the
Forefoot
FOR PEOPLE WITH MORTON'S
NEUROMA, EVERYDAY ACTS
CAN CAUSE EXCRUCIATING
PAIN. HERE'S WHAT NAIL
TECHS NEED TO KNOW.

IT TAKES SOME NERVE

Morton's neuroma most commonly develops
between the third and fourth toes of the foot.
The tissue surrounding the digital nerve in that
area thickens and swells, causing the nerve
itself to become enlarged and/or inflamed.
"Many people feel like they have a balled-up
sock under their foot, as well as pain, tingling,
numbness and burning in the affected toes,"
says Steven Frank, DPM, a veteran podiatrist
who sees several new cases of Morton's
neuroma every week at his St. Louis-based
practice, Premier Podiatry.
The pain of Morton's tends to be persistent
and easily exacerbated, and sufferers are often
forced to modify their everyday activities.
Even standing on tiptoe to reach a dish from
a cabinet can be excruciating. "Conditions are

50 | NAILPRO

Nail Clinic NP0320.indd 50

typically worse with weight-bearing activities
that put higher pressure on the ball of the foot,
such as crouching or kneeling, climbing stairs
or ladders, doing squats or lunges, or wearing
tight shoes or high heels," affirms Dr. Frank.
Women are much more likely to develop
Morton's neuroma than men. This isn't
surprising, given women's shoe styles, which
tend to compress toes, pinch nerves and
place a disproportionate percentage of body
weight on the ball of the foot. Over the years,
accumulated stress on the feet increases the
likelihood of developing the problem, which
might explain why middle-age women are the
ones most commonly affected.
However, there's also a genetic component.
"Some people have a naturally tight space
between the metatarsals and/or thicker nerve
branches in this part of the foot," says Dr. Frank.
"Having high-arch feet, significant hammertoe
deformities and bunions can also lead to
neuromas." He lists trauma, surgery, repetitive
stresses and certain workout routines as
additional culprits. High-impact sports activities,
such as running and tennis, or those involving
tight footwear, such as skiing and rock climbing,
are thought to be linked to Morton's neuroma
as well.

UNTANGLING THE PROBLEM

Despite the strong sensations it causes,
Morton's neuroma is generally not visible to the
naked eye. Diagnoses are reached following
an exam, during which the physician will apply
pressure to replicate the pain, and an X-ray
and ultrasound to confirm suspicions and rule
out other causes. "It's important to check for

Morton's
Neuroma
Facts*
Women are 8 to 10
times more likely to
develop Morton's
neuroma than men.
About 80% of Morton's
neuroma patients are
successfully treated
nonsurgically.
There are approximately
7,000 nerves in one
human foot.
A 2½-inch heel can
increase the load on
the forefoot by 75%.
The pressure on the
feet while running
is as much as four
times the weight of a
runner's body.
Sources: American
Academy of Orthopaedic
Surgeons, orthoinfo.aaos.
org; American College of
Foot and Ankle Surgeons,
foothealthfacts.org; Harvard
Health Publishing/Harvard
Medical School, health.
harvard.edu; foot.com.

STOCKFOTOCZ/BIGSTOCK

When Aerosmith front man Steven Tyler
made his debut at the judge's table on TV's
"American Idol" in 2011, it seemed like an
improbable career move for the flamboyant
rocker. But there was more going on with Tyler
than meets the eye: His sedentary new gig just
may have been due to his feet. Tyler had been
suffering for years from a painful foot condition
called Morton's neuroma, aka interdigital or
intermetatarsal neuroma. Caused by abnormal
tissue growth surrounding a nerve, Morton's
neuroma can severely limit a person's activities.
However, with proper diagnosis and care, it can
be adequately managed.
If you've been a nail technician for more
than a couple of years, there's a good chance
that you've worked on clients suffering from this
condition. Here's what you need to know.

MARCH/APRIL 2020

2/17/20 11:27 AM


http://www.foothealthfacts.org http://www.harvard.edu http://www.foot.com

Nailpro - March/April 2020

Table of Contents for the Digital Edition of Nailpro - March/April 2020

Contents
Nailpro - March/April 2020 - Intro
Nailpro - March/April 2020 - Cover1
Nailpro - March/April 2020 - Cover2
Nailpro - March/April 2020 - 1
Nailpro - March/April 2020 - 2
Nailpro - March/April 2020 - 3
Nailpro - March/April 2020 - 4
Nailpro - March/April 2020 - 5
Nailpro - March/April 2020 - 6
Nailpro - March/April 2020 - 7
Nailpro - March/April 2020 - 8
Nailpro - March/April 2020 - 9
Nailpro - March/April 2020 - Contents
Nailpro - March/April 2020 - 11
Nailpro - March/April 2020 - 12
Nailpro - March/April 2020 - 13
Nailpro - March/April 2020 - 14
Nailpro - March/April 2020 - 15
Nailpro - March/April 2020 - 16
Nailpro - March/April 2020 - 17
Nailpro - March/April 2020 - 18
Nailpro - March/April 2020 - 19
Nailpro - March/April 2020 - 20
Nailpro - March/April 2020 - 21
Nailpro - March/April 2020 - 22
Nailpro - March/April 2020 - 23
Nailpro - March/April 2020 - 24
Nailpro - March/April 2020 - 25
Nailpro - March/April 2020 - 26
Nailpro - March/April 2020 - 27
Nailpro - March/April 2020 - 28
Nailpro - March/April 2020 - 29
Nailpro - March/April 2020 - 30
Nailpro - March/April 2020 - 31
Nailpro - March/April 2020 - 32
Nailpro - March/April 2020 - 33
Nailpro - March/April 2020 - 34
Nailpro - March/April 2020 - 35
Nailpro - March/April 2020 - 36
Nailpro - March/April 2020 - 37
Nailpro - March/April 2020 - 38
Nailpro - March/April 2020 - 39
Nailpro - March/April 2020 - 40
Nailpro - March/April 2020 - 41
Nailpro - March/April 2020 - 42
Nailpro - March/April 2020 - 43
Nailpro - March/April 2020 - 44
Nailpro - March/April 2020 - 45
Nailpro - March/April 2020 - 46
Nailpro - March/April 2020 - 47
Nailpro - March/April 2020 - 48
Nailpro - March/April 2020 - 49
Nailpro - March/April 2020 - 50
Nailpro - March/April 2020 - 51
Nailpro - March/April 2020 - 52
Nailpro - March/April 2020 - 53
Nailpro - March/April 2020 - 54
Nailpro - March/April 2020 - 55
Nailpro - March/April 2020 - 56
Nailpro - March/April 2020 - 57
Nailpro - March/April 2020 - 58
Nailpro - March/April 2020 - 59
Nailpro - March/April 2020 - 60
Nailpro - March/April 2020 - 61
Nailpro - March/April 2020 - 62
Nailpro - March/April 2020 - 63
Nailpro - March/April 2020 - 64
Nailpro - March/April 2020 - Cover3
Nailpro - March/April 2020 - Cover4
Nailpro - March/April 2020 - GELISH
Nailpro - March/April 2020 - MT
Nailpro - March/April 2020 - MT1
Nailpro - March/April 2020 - MT2
Nailpro - March/April 2020 - MT4
Nailpro - March/April 2020 - MT5
Nailpro - March/April 2020 - MT6
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