Evidence Checklist: Morton's Neuroma (Anterior Metatarsalgia)

Podiatric or orthopedic evaluation with Mulder click and compression testsCritical

Examination documenting pain in the third or fourth web space, positive Mulder click sign, metatarsal compression test, and any numbness or burning in the adjacent toes.

Nexus opinion linking Morton's neuroma to service ("at least as likely as not")Critical

A medical opinion connecting your interdigital neuroma to military service, including narrow footwear, prolonged marching, or repetitive forefoot loading during military duties.

Diagnostic/therapeutic injection results

Documentation of corticosteroid or anesthetic injections into the web space and the degree of symptom relief, confirming the diagnosis and as a conservative treatment attempt.

Diagnostic ultrasound or MRI confirming neuromaCritical

Ultrasound showing a hypoechoic intermetatarsal mass (neuroma) in the third or fourth web space, or MRI demonstrating an ovoid mass in the interdigital space compressing adjacent toes.

Treatment records (orthotics, injections, sclerosing injections, surgery)

Records documenting metatarsal pad use, wide-toe box shoes, corticosteroid or alcohol sclerosing injections, radiofrequency ablation, and surgical neurectomy.

Buddy statement from spouse, family, or fellow service member

A written statement from someone who can describe observable symptoms and how your condition affects daily life.

Personal statement describing symptoms and functional impact

Your own written account of how this condition affects your daily activities, work, and relationships. Describe your worst days.

Completed DBQ Foot ConditionsCritical

Standardized form capturing interdigital neuroma findings, affected web space, and functional limitations.

Service treatment records (STRs)Critical

Military medical records showing in-service treatment, complaints, or injuries related to this condition.