Plantar neuralgia : (metatarsalgia, Morton's painful affection of the foot) / by Robert Jones.

  • Robert Jones
Date:
1897
Catalogue details

Licence: Public Domain Mark

Credit: Plantar neuralgia : (metatarsalgia, Morton's painful affection of the foot) / by Robert Jones. Source: Wellcome Collection.

Provider: This material has been provided by The Royal College of Surgeons of England. The original may be consulted at The Royal College of Surgeons of England.

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    On examining, pain over 4th, very slight over 2nd and 3rd. Flat-foot: no swelling. Excised 4th. Bed three weeks. Wrote to his doctor:—“ Am doing my eight miles a day without discomfort; have never looked back since Mr Jones operated.” Case VII.—Hallux valgus—plantar neuralgia—excision of 1st joint—rectification of deformity—disappearance of all symptoms. Miss F., governess, aged 22. Five years suffered with hallux valgus and bunion. Considerable pain locally, but also flat- footed. Complained of much pain over base of toes. Boot had often to be removed. She was not able to walk far, latterly. Obliged to sit down at school all through tuition. Extreme pain on pressing over 4th metatarsal and 2nd. After removal of joint of big toe, symptoms quite relieved. Metatarsalgia gone. This is most interesting, as showing the disappearance of a metatarsalgia in curing a hallux valgus. The recovery is no doubt due to the fact that more freedom of movement was allowed to the toes, by the removal of obstruction to flexion. Case VIII.—Jane H. No good history to be obtained. Could not walk without pain for the last two years—sometimes the pain came on even when slippers were used. Very gouty family history. Both feet flat and both affected. Often had to walk on heels all day. No swelling or discoloration. Pain over 4th metatarsals on pressure. Excision of heads in both feet. Complete freedom from discomfort in two months after operation. Can stand all day in tobacconist shop, with but slight pain, which is easily endured if patient walks a great deal. Case IX.—K. J., aged 41. Three years lad, but felt it for seven or eight. Had to leave business because of acute pain. Feet flat—pain localised over base of toes. Eased by tying firm bandage round foot. Other symptoms similar to vii. (Miss I.). Completely cured on removal of 3rd and 4th. Case X.—J. H., sailor, set. 34. Operated June 1893. Sprained right foot two years previously by catching foot under a loose plank on board “ Teutonic.” Pain constant, but sometimes
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