Morton's neuroma physical examination

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Sara Mohsin, M.D.[2]Faizan Sheraz, M.D. [3]

Patients may have antalgic posture. Physical examination may be remarkable for tenderness to palpation, limitation of range of motion, dysesthetic pain and Mulder’s sign which includes replication of symptoms or clicking sensations upon direct pressure between the metatarsal heads or compression of transverse arch in forefoot between the finger and thumb. Negative signs include no obvious deformities, erythema or signs of inflammation.

• Patients may have antalgic posture^[1]
• Physical examination may be remarkable for:
  • Tenderness to palpation
  • Limitation of range of motion
  • Dysesthetic pain
  • Mulder’s sign:
    • Replication of symptoms or clicking sensations upon direct pressure between the metatarsal heads or compression of transverse arch in forefoot between the finger and thumb
  • Negative signs include no obvious:
    • Deformities
    • Erythema
    • Signs of inflammation

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