neuroma morton¿Qué es? Es una inflamación de los tejidos perineurales del nervio interdigital a nivel del espacio entre la cabeza del 4º metatarsiano y la cabeza del 5º.

¿Por qué? Se produce esta inflamación por pellizcamiento del nervio entre las cabezas y las bases de la falanges debido a la peculiar biomecanica de despegue. Existen pacientes que despegan por las metatarsofalangicas menores de 2º a 5º y esto provoca un rodamiento de las cabezas de 4º y 5º produciendo la compresión del nervio. Existen determinados tipos de pies con ciertos patrones mecánicos que tienen predisposición a esta patología.

¿Cómo tratarlo? Una vez que el neuroma se ha formado debemos separar el metatarso a esa nivel con piezas específicas en la ortesis y evitar el despegue por el eje secundario para minimizar el efecto de pellizcamiento. En estadíos muy avanzados del neuroma se pueden utilizar otras terapias como infiltraciones o cirugía.

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