1. What is an interbranch neurosis (Morton metatarsal pain)?
It is a disease that causes pain or abnormal sensation by compressing the interbranched nerve as the interbranched nerve tissue distributed between the toes becomes fibrous and thick.
2. What are the symptoms of interbranch neurosis?
When I walk or stand, I feel a stinging pain or burning pain in front of the soles of my feet, and I feel numb. Symptoms may appear when the heel is high or when wearing shoes with narrow cheeks, and symptoms may disappear when the shoes are taken off. It usually occurs between three or four fingers, and sometimes between two or three fingers.
3. Causes of interbranched neuroma
- Interbranch neuropathy occurs especially in women in their 30s and 60s, which is 8 to 10 times higher than the incidence of men. It seems to be highly related to wearing narrow shoes.
4. What happens if the interbranched neuroma treatment is delayed?
When walking or standing, the posture is distorted due to toe pain, which can cause problems in knees, hip joints, and spine.
5. Korean Medicine Treatment Effect and Method for Interbranched Neuroma
Acupuncture: Acupuncture is performed on the main acupuncture points of the calf and foot to relieve nervous muscle pressure.
Chinese medicine: It removes swelling of the tissue around the swollen interbranched nerve and reduces inflammation. It also helps improve the circulation of peripheral blood vessels.
Medicinal needle: The needle is injected into the area where the nerve compression occurs to relieve nerve compression.
Chuna: Tuna orthodontic treatment to improve the imbalance between the left and right sides of the pelvis to help the weight load be evenly placed on the back of both feet.
6. Differences from ambivalence therapy
Preservative treatment is performed on both sides, and steroid injection treatment or surgical treatment is performed if there is no improvement.
① conservative treatment
Use wide shoes and a middle foot pad. Wearing a metatarsal pad helps to relieve nerve pressure by opening the distance between the metatarsal heads. It is said that 20-30% of all patients had an effect on this method.
② steroid injection
If conservative treatment does not respond at all, steroids will be injected into the local area. However, steroids are difficult to expect long-term effects and have side effects that atrophy fat tissue on the sole of the foot, so it is not desirable to inject more than once.
③ surgical treatment
There is also an operation to remove the ligament between the toe bones that compress the interbranch nerve to relieve the pressure on the nerve. However, there are cases where pain and sensory loss remain after surgery, and there are many cases where they recur.
The oriental medicine clinic treats Chuna, acupuncture, acupuncture, acupuncture, and herbal medicine at the same time to prevent recurrence by improving the unbalanced body shape of interfinger neuroma and relieving muscle tension and nerve pressure.
---- 中国话 ----1.什么是支间神经瘤（莫尔顿中足骨痛）？
分布在脚趾骨之间的枝间神经周围组织纤维化变厚,压迫枝间神经,引起疼痛或异常感觉的疾病。
2.支间神经瘤的症状是什么？
走路或站着时,脚掌会感到刺痛或灼热的疼痛,也会感到麻木。 脚后跟高或穿窄的鞋子时出现症状,脱鞋后症状可能会消失。 主要发生在3~4根手指之间,也有发生在2~3根手指之间的情况。
3. 枝间神经瘤的原因
- 枝间神经瘤尤其在30~60多岁的女性中经常发生,比男性发病率高8~10倍。 好像和穿窄的鞋有关联。
4.枝间神经瘤治疗延迟的话会怎么样？
走路或站着时,脚趾疼痛导致姿势扭曲,膝盖、髋关节、脊椎也会出现问题。
5. 枝间神经瘤的韩方治疗效果及方法
针灸:对小腿、腿的主要穴位进行针灸治疗，缓解紧张肌肉，缓解神经压迫。
中药:消除肿胀的枝间神经周围组织的浮肿，减少炎症。 另外，有助于改善末梢血管的循环。
药针:向发生神经压迫的部位注入药针，缓解神经压迫。
珠娜:为改善骨盆左右不均衡的珠娜矫正治疗，帮助体重负荷均匀地承载在双腿内侧。
6. 与两房治疗的不同点
两侧进行保守治疗,没有好转时进行类固醇注射治疗或手术治疗。
① 保守的治疗
使用宽的鞋子和中脚垫。 佩戴中足骨垫可拉长中足骨头之间的距离,具有缓解神经压迫的效果。 据悉,全体患者的20~30%对这种方法有效果。
② 类固醇注射
即使进行保守治疗,如果完全没有反应,也会在局部部位注射类固醇。 但是类固醇很难期待长期效果,而且有萎缩脚掌脂肪组织的副作用,所以注射一次以上是不好的。
③ 手术治疗
切除压迫支间神经的脚趾骨之间的韧带,进行缓解神经压迫的手术。 但是手术后也会留下疼痛或感觉下降的情况,复发的情况也很多。
韩医院不是用单纯的镇痛剂来缓解疼痛,而是为了改善发生指间神经瘤的不均衡体型状态,缓解肌肉和肌肉紧张及神经压迫,同时治疗推拿、针灸、药针、韩药等,以防止复发为目标进行治疗。
