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Diagnosis of Foot Exam
9/21 15:08:23

Question
I am a 55yr old male, 5'-10" tall, weight at 195lbs. My exam (9mos) ago stated that I have a Morton's neuroma. The exam read as follows ....palpable pain with a Mulder's sign at the left foot third inner space. There is no erythema, no edame, no increase in temperature. He has an Achilles equinus and limited ankle joint dorsiflexion. In stance and gait he has an increase in pronatory compensation both midstance and proplusive phases. In laymen's term, are they saying anything else other than neuroma?

Answer
Hi Joe,

Yes, you have a Morton's neuroma which is an inflammation of the nerve.  More information is on my site listed below.

In addition, you have a tight Achilles tendon with decreased motion of the ankle when you try to move the ankle up towards the front of the leg.  As a result of the tight Achilles tendon, you have an inward movement of your foot causing your arch to drop while standing and walking forward.

Simply this is a collapse of your arch or flat foot.  If you have problems this would usually be treated with custom arch supports and stretches for the Achilles tendon and muscles of the leg.

Hope that makes it more clear.

Good Luck.

Marc Katz, DPM
Advanced Podiatry
Tampa, FL
www.thetampapodiatrist.com
www.tampacryosurgery.com
www.fix-my-foot.com

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