Morton's Neuroma in Adjacent Intermetatarsal Spaces

Clinical Scenario

This protocol addresses the specific and recognised situation in which Morton's neuroma is present in two adjacent intermetatarsal spaces simultaneously. This presentation is not uncommon — reported incidence reaches as high as 28% — and it introduces distinct management considerations compared with single-space disease.

Management Approach

Surgical intervention is central to this scenario. The approach involves decisions about how to address both neuromas — the specific strategy depends on individual clinical factors.

The complete structured protocol — including the full surgical decision algorithm — is available below.

Instant Access to Structured Evidence-Based Regimens

References

DOI: 10.1016/j.jcot.2020.03.024

Morton's neuroma in adjacent intermetatarsal spaces is common with reported incidence as high as 28%.

Some clinicians therefore resort to treating this by excising one of the neuromas and decompressing the adjacent intermetatarsal space.

Others believe in sequential excision if required following excision of the more symptomatic neuroma.

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