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 Subject: RE: Plantar Fat Pad Atrophy ?
 
Author: Foot Doc
Date:   9/17/2007 10:57 am PDT
DISCLAIMER:
THE FOLLOWING IS OFFERED GRATIS AS GENERAL INFORMATION ONLY, AND, AS SUCH, MAY NOT BE APPLICABLE TO THE SPECIFIC QUESTIONER AND/OR HIS/HER PROBLEM. IT IS CLEARLY NOT BASED ON ACTUAL KNOWLEDGE AND/OR EXAMINATION OF THE QUESTIONER OR HIS/HER MEDICAL HISTORY, AND IT CAN NOT AND SHOULD NOT BE RELIED UPON AS DEFINITIVE MEDICAL OPINION OR ADVICE. ONLY THROUGH HANDS- ON PHYSICAL CONTACT WITH THE ACTUAL PATIENT CAN ACCURATE MEDICAL DIAGNOSIS BE ESTABLISHED AND SPECIFIC ADVICE BE GIVEN. NO DOCTOR/PATIENT RELATIONSHIP IS CREATED OR ESTABLISHED OR MAY BE INFERRED. THE QUESTIONER AND/OR READER IS INSTRUCTED TO CONSULT HIS OR HER OWN DOCTOR BEFORE PROCEEDING WITH ANY SUGGESTIONS CONTAINED HEREIN, AND TO ACT ONLY UPON HIS/HER OWN DOCTOR’S ORDERS AND RECOMMENDATIONS. BY THE READING OF MY POSTING WHICH FOLLOWS, THE READER STIPULATES AND CONFIRMS THAT HE/SHE FULLY UNDERSTANDS THIS DISCLAIMER AND HOLDS HARMLESS THIS WRITER. IF THIS IS NOT FULLY AGREEABLE TO YOU, THE READER, AND/OR YOU HAVE NOT ATTAINED THE AGE OF 18 YEARS, YOU HEREBY ARE ADMONISHED TO READ NO FURTHER.
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A pre-requisite to considering any specific prognosis or how one might attempt to change it for the better would be an accurate diagnosis and etiology. Diagnoses and findings are not the same thing. But Internet forums are not likely venues to obtain diagnoses, which generally are to be based of a hands-on examination.

It was you who brought up the diagnosis of Morton's neuroma, and this condition certainly is a common cause of pain in the ball of the foot. It is not generally a difficult diagnosis to make, but it can present with varying symptoms, from paresthesias such as tingling and burning, to frank numbness to out and out pain. I was simply advising that some or part or perhaps the whole of your problem could be symptoms of the Morton's neuroma which you say was suspected, even in spite of the fact that you may have concomitant fat pad atrophy.

In my experience, an accurately diagnosed Morton's neuroma generally requires an invasive procedure to remove, destroy or decompress the neuroma in order to afford other than temporary relief.
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