Is ultrasound necessary for diagnosing Morton’s neuroma?


In a paper by Pastides et al. (P. Pastides., S. El-Sallakh.& C. Charalambides. Morton's neuroma: A clinical versus radiological diagnosis. Foot and Ankle Surgery. 2012, March) the authors conclude that imaging using technology such as ultrasound are not an absolute requirement and that the diagnosis of Morton's neuroma can be made clinically. At The London Podiatry Centre we utilise ultrasound to confirm the diagnosis of a Morton's neuroma and to also specifically establish features such as size and the presence of any concomitant condition such as bursitis. However, the Centre would agree that in some cases the history and clinical signs can be overwhelmingly in support of the diagnosis of Morton's neuroma without further imaging.