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Covid-19 Update


Face Coverings

From 15 June 2020, visitors and outpatients coming into our hospitals will be asked to wear a face covering at all times, to help us reduce the spread of Covid-19.
 
A face covering can be as simple as a scarf or bandana that ties behind the head. It should cover your mouth and nose while allowing you to breathe comfortably.

New measures to increase services
Our staff have been working hard to respond to the coronavirus pandemic and ensure the safety and quality of our services for all patients.
 
Just like the rest of the NHS, our number one priority for the last few months has been ensuring that all those who need urgent care - not just those with coronavirus - have been able to get it when they need it.  Combined with the need to avoid unnecessary contact to reduce the spread of the virus, this has meant that some non-urgent appointments may have been postponed, and others delivered differently using technology.
 
We are now preparing to gradually increase some important face-to-face services, but only where this can be done safely - the virus is still circulating and we don’t want to put our patients, the public or our staff at greater risk.  Thank you for your patience and understanding during these difficult times.

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YOUR PHYSIO

Condition directory

Morton's Neuroma

bare-foot-on-beach

Morton’s neuroma is a condition where a nerve (the plantar interdigital nerve) in your foot is irritated or thickened. This is a nerve the passes between the bones of your foot. This most commonly involves your second, third or fourth toes. It is usually diagnosed between 40-60 years of age and more common in women than men.

It is often made more painful by wearing tight footwear that can increase pressure around the nerve. Other contributing factors can be repetitive heavy impact on the feet.

neuroma

  

The main symptoms of Morton’s Neuroma are:

  • A shooting, stabbing or burning pain in the forefoot
  • Feeling like a small stone is stuck under your foot
  • Local tingling and numbness
  • Pain exacerbated by increased activity such as walking or certain footwear (tight, pointy or high heeled shoes)

 

Self Help

The following modifications may help your symptoms to settle:

  • Wear wide, comfortable shoes with a low heel and soft sole and avoid tight, pointy or high heeled shoes
  • Temporarily reducing or modifying activities that reproduce your symptoms may help the symptoms settle. E.g. if you notice your symptoms are worse when running, try reducing the amount you do for a short period
  • Weight loss – reducing you weight will reduce the amount of pressure through your foot. Further information can be found here

Further Treatment 

Other treatments include:

  • If the above footwear advice doesn’t ease symptoms, a “metatarsal pad” (available over-the-counter) may reduce pressure on the nerve
  • Non-steroidal anti-inflammatories can be considered if necessary - Please check with a pharmacist or your GP if this medication is appropriate for you.

 If you are struggling to return to your normal activity levels or your foot is not settling, ask your GP for a referral to podiatry. If your symptoms persist after podiatry, your GP can refer you to the Musculoskeletal Service for further management. 

Please Note: If you have diabetes and are experiencing a new onset of pain or sensation change in your feet we advise you see your diabetic nurse or GP in the first instance prior to referral to the Musculoskeletal Service.