Please note: This is the general version of the course: Morton’s Neuroma R534. No pharmacology credits will be earned. Click here to take the pharmacology version.
Course Summary
Morton’s Neuroma is a common foot condition characterized by forefoot pain, affecting individuals of various demographics. A general overview of the etiology, clinical presentation, diagnosis, and management options for Morton’s neuroma is discussed. Conservative measures such as footwear modification, orthotic devices, and interventional approaches such as injections and surgery are highlighted. A multidisciplinary approach focusing on the development of an individualized management strategy will best support pain relief and improve outcomes for patients with Morton’s neuroma.
Course Format
Homestudy
Course Syllabus
- Introduction
- Historical Background
- Anatomy of the Foot
- Prevalence and Risk Factors
- Demographics, Age Distribution, and Common Risks
- Signs and Symptoms of Morton’s Neuroma
- Foot Pain and Numbness/Tingling
- Differential Diagnosis of Morton’s Neuroma
- Physical Examination
- Diagnostic Imaging Modalities
- Treatment of Morton’s Neuroma
- Physical Therapy
- Footwear Modification
- Orthotic Devices
- Pharmacological Interventions
- Alcohol Sclerosing Injections
- Cryogenic Neuroablation
- Surgical Excision
- Complications of Treatment and Prognosis
- Prevention of Morton’s Neuroma
- Case Study: Interdigital Morton’s Neuroma
- Summary
Marilyn Lajoie, MD, DC, CCSP
Dr. Marilyn Lajoie obtained her medical degree from Saba University School of Medicine in 1999, Her residency began with one year of Anatomical and Surgical Pathology at Orlando Regional Medical Center, before transferring within the same post-graduate residency program to Internal Medicine. Upon completion of residency, she went into private practice in Orlando, where she specialized in Internal Medicine, Sports Medicine and Rehab, as well as acute and chronic pain management. Before becoming a medical doctor, she had practiced as a Chiropractic Physician, graduating from New York Chiropractic College in 1980, practicing initially on Long Island, N.Y., before moving to Florida where she had a successful chiropractic practice and physical rehabilitation center, and gained recognition as a Certified Chiropractic Sports Physician. Dr. Lajoie was also the Director of Physical Therapy at Horizon Hospital, a residential and outpatient psychiatric hospital, and later, continued in the same capacity at Horizon’s sister psychiatric hospital in Brooksville, Florida. Dr. Lajoie maintained her chiropractic license and continued to practice both Internal Medicine and Chiropractic throughout private practice, until moving to the Veterans Healthcare System in 2014. Continuing in both fields, she became the Deputy Chief of Staff for the Montana VA, where she completed her service in 2021. Dr. Lajoie now works predominantly in telemedicine, and in an Expert Witness capacity for both medical and chiropractic cases. Still living in Montana, she enjoys being able to treat not only the rural areas of the state through this technology, but also patients across the US where she maintains multiple active state licenses. She and her husband also own a llama ranch with over thirty llamas that are hand selected for rare genetics. At the llama ranch, the public is invited to come and visit to learn about these elegant creatures, and to see ranch life firsthand – llama style! Dr. Lajoie and her husband have six adult children, as well as seven dogs.