I'm pretty sure I picked up the staph infection in a public shower at week four and that infection set my healing back about three weeks. I never did do any massaging of the foot or scar tissue post-op. I support this kind of treatment, and I am planning to go to the Center for my own treatment. Complete recovery typically takes three to six weeks. One week after surgery I was able to walk pretty normally in my wide, maximally cushioned Altra shoes but still used hiking poles for added stability on trails. One treatment option is a Morton's Neuroma injection. As it would turn out, I never felt any post-op pain at all and that would be the only pain pills I took. Chemical nerve ablation and radiofrequency ablation also have a good success rate, with 70 to 80% of patients noting improvement after these interventions. You can return to your normal activities within 3-4 weeks. 'As Morton's neuroma is usually associated with . I do seem to recall some tenderness for a few months that was uncomfortable but not like the neuroma pain was. Morton's neuroma is most likely to occur between the 3rd and 4th toe, and somewhat less likely to occur between the 2nd and 3rd toe. The first two weeks are about keeping your wound clean, your foot elevated to reduce swelling, and general rest. To remove a neuroma, a small incision is made in the web space between the two affected toes. Endoscopic surgery to save the nerve for Morton's neuroma, accessing from above instead of from below, holds benefits: Neurectomy removes the diseased nerve tissue of the plantar nerve. fax: +49-761-79117-999 If the nerve (yellow) is irritated, burning or stabbing metatarsal pain occurs throughout the area it supplies. Morton's neuroma involves a thickening of the tissue around one of the nerves leading to your toes. Morton neuroma is painful thickening of the tissue around one of the nerves in the foot. Hooray! She underwent an excision of a "Morton's neuroma", in 2013. Camino Frances 2018, 2021. I'm writing this to help others who are facing surgery to correct Morton's Neuroma and to describe my recovery process and progress. Then a cadaveric nerve allograft is micro-surgically sewn on to the end of the native nerve. With neurectomy, the healing process can take much longer. The problem is (as you have read, with a very good post as well) people respond to many different things. I agree with scott's advice on neuroma surgery. MODEL: 20211. Cortisone injectionsonly worked for a few weeks at at time. I hadn't read about anyone else getting a suction drain but considering I felt no post-op pain at all, I'm pretty sold on the idea of the drain. Ease into walking but plan on crutches and no impact (jumping, running, leg press) for 2 months. Morton's neuroma is not actually a tumor, but a thickening of the tissue that surrounds the digital nerve leading to the toes. Thank you! Acta Neurochirurgica . Dr. Thomas Schneider, MD, Medical examination for Morton's neuroma using Mulders sign: The foot specialist can feel out Morton's neuroma between the metatarsal bones and trigger specific pressure pain. ), Thanks to everyone, especially Fritz, who has kept a positive attitude throughout this saga and did their best to keep me positive when I was feeling pretty down. You can read more about how this procedure works in this article, The procedure itself should not be painful because your surgeon will administer anesthesia to you before the surgery. Contact. This website also contains material copyrighted by third parties. Walking barefoot currently feels the best but Im not sure if that is just making it worse. 30 hours. Expect at least a month for the nail bed to heal. Last week, a friend of mine was telling me that she had her Neurectomy 4 months ago (Early June 2019). This condition is frequently referred to as a Mortons neuroma, though your physician or other sources may also refer to this condition as an interdigital neuroma, Morton metatarsalgia, interdigital neuritis, or a plantar neuroma. when I perform neuroma surgery I try to make that the only procedure. Possibly squeezing your foot to check for a click between your toes called a Mulders click that is sometimes present with a Mortons neuroma. The incision itself looks like no more than a scrape, and the stitch entry points didnt leave a scar, unlike other times Ive needed stitches where I look like a pirate. Remove the diseased portion of the nerve, or. Most patients who undergo a Mortons neuroma excision, in which the neuroma and part of the nerve are removed, will experience complete relief from pain but will suffer some permanent numbness of the adjacent toes. Yet neurectomy so actually amputating the nerve is still considered the standard treatment for Mortons neuralgia. Curious how your foot is doing now, a year later? A complete Recovery from Morton's neuroma may take anywhere between 4 to 6 months, on an average. Morton's neuroma Blog provides many treatment options for Morton's neuroma. Recovery from Morton's neuroma surgery takes up to 3 months in total. Right at two weeks post-op my right ankle started feeling super painful and was swollen a good bit. It can affect any of the toes in the foot. Nov. 1, 2011. Morton's neuroma is a benign neuroma of an intermetatarsal plantar nerve, most commonly of the second and third intermetatarsal spaces (between the second/third and third/fourth metatarsal heads; the first is of the big toe), which results in the entrapment of the affected nerve.The main symptoms are pain and/or numbness, sometimes relieved by ceasing to wear footwear with tight toe boxes and . After that it was painful but not terrible- think a bad bruise. After the incision is completely healed, massaging the forefoot can help prevent the development of scar tissue. When Can I Go Back To Work After Mortons Neuroma Surgery? I have been battling with one for 4 years and have tried numerous approaches ranging from most conservative to actual surgery 7 days ago. My Ortho Surgeon plan has me off of it for 2 weeks, elevated and iced. Right very flared up. Approximate six months ago, the pain in the area of the Morton's neuroma excision started to become much more severe with radiation of pain into . All rights reserved. This will depend on the type of surgery you have opted for. The stitches will be removed eleven days from now and I'm hopeful by then I'll be walking normally and able to hike trails a bit. I now have a little bit of surgical pain left, but I feel a neuroma type pain if I handle or massage near the incision site. He has been in excruciating pain as he stands on his feet 12 hours a day. A portion of the involved nerve is also removed (neurectomy). Gelenk Klinik Orthopaedic I've run the past three days in a row and it's been pain free. Thanks Steve. In the first 2 months after the operation you should avoid heavier strain and rolling of the foot. It is an outpatient procedure, which means that you are able to go home the same day. This retrospective study evaluated 12 patients with Morton's neuroma who did not respond to conservative measures and underwent open intermetatarsal ligament (IML) release without neuroma excision as the initial operative treatment. Another risk of this surgery is a scar tissue or stump neuroma, which develops when there is irritation at the end of the cut nerve. Feb 19, 2016. . The podiatrist that did my surgery was pretty nonchalant about my seemingly early return to activity. Hi jwood. I hope it can be helpful to anyone else going through this condition. It was done on a National Level Karate played for severe pain in his foot. A Morton's neuroma is a painful condition due to compression of one or more of the common plantar digital nerves between the heads of the metatarsal bones by the transmetatarsal ligament. That means taking a tactical break from regular running in favour of low-impact activities, like swimming. - Small gel ice packs - great for sticking under your foot in a flip flop for when you're away from home in weeks 3-4. Thanks for your reply. Learn what you can do to help. You may have to refrain from taking aspirin and NSAIDs for one week prior to surgery and refrain from eating or drinking anything after midnight the night before surgery. I hope you find relief and if you go the surgery route, keep the incision area clean (unlike I did!) Hi Shawn. The diagnosis based on your symptoms and an MRI or ultrasound scan. Mostly I'm stoked on Saucony Peregrines. It is reported that this pain may be difficult to locate. There was only mild discomfort. Women are four times more likely to develop Morton's neuroma than men. Conservative measures, such as changes in footwear, activity modification, and the addition of orthoses, may provide some degree of relief in up to about 50% of patients. Patients frequently describe the sensation of having a pebble or marble under their forefoot as they walk. However, you should elevate your foot as much as possible whilst the wound is healing to prevent swelling. You will decide which type of anaesthesia is best for you together with the anaesthetist. It is not all bad news about Mortons Neuroma surgery. Sprinters may feel pain as they push off from the starting block. If Morton's neuroma swelling is too severe, the nerve will need to be removed (neurectomy). However, we also offer spinal anaesthesia to avoid general anaesthesia if the patient so desires. We have particularly seen good results with respect to preventing recurrence (relapse). In Dr. Tollestrup's denervation surgery for Morton's neuroma, an incision is placed in the non-weight-bearing part of the arch of the foot, and the damaged nerve or nerves are identified and disconnected. On Friday morning, the surgery went very well and took about an hour. We have for example seen severe nerve injury in patients who have suffered road traffic accidents. Once approved by the anaesthetist and the surgeon, the surgery can typically be performed the day after the examination. Wow, you jumped right in shortly after your surgery ehh? The physician then uses the results to determine the suitable surgical technique together with the patient. If the personal quality of life has been reduced and pain is severe, and if conservative treatment is unsuccessful, surgery is an option. Is Surgery For Mortons Neuroma successful? However, the average reported recovery time for normal cases (with no complications) is expected to be 2 4 weeks. My foot was in a velcro boot so I could hobble around quite well. it makes recovery much faster, but it is important to take it easy after the surgery. Following surgery for removal of an inflamed nerve caused by Morton's Neuroma, I've been keeping a journal of the recovery. Those types of trails would typically have caused me foot pain but not anymore. Left untreated, this neuroma can lead to permanent tingling or numbness in the foot. After this, you can commence Physical Therapy for 6-12 weeks. The rest of the weekend I spent chilling out on the couch watching NFL playoff football with my foot elevated. Rarely, will you have any complications. First the physician will perform a thorough diagnostic examination and imaging. I had surgery two years ago read lots of blogs good and bad oneshad the surgery and my foot is fine now glad I had it done,,, don't know how I got it never wore heels.it's two years ago and the healing process is long about a year before it is perfect!!!! Even doctors themselves will advise you to try out non-surgical treatments first before you decide to go under the knife. I would think a local podiatrist would be able to help you though, especially in a large market like Dallas. In fact, I think climbing is good therapy because the weight is mostly on my big toe and each step is very calculated. D-79194 Gundelfingen I've had no post-op numbness at all,thankfully. I live in dallas. Otherwise, there is a risk of recurrence, so a renewed irritation of the nerve stump with painful swelling of the connective tissue. Formication or a feeling of numbness in the toes are symptoms of Morton's neuroma. The doctor really outdid himself there. !my doctor was a good podiatrists!!! Change your bandages regularly, and follow your doctor's instructions for how and when to do this. Yes, I'm an RN and a horrible patient! I can actually see the tendons. After neurolysis you should wear a special shoe to offload the forefoot for 2 to 3 weeks. Burning pain in the ball of your foot that shoots into the toes. Metatarsal osteotomy: This surgery involves cutting the metatarsal bone of the big toe and realigning the bone. After foot surgery, patients are mobile again straight away with the use of a forefoot offloading shoe. The most common place for a neuroma in the foot is a "Morton's neuroma", which occurs between the third and fourth toes on the bottom of the ball of the foot. This involves massage, strengthening, and mobility exercise. Who did your surgery? The older the patient, the longer the forefoot will be swollen. I did the spinning with the pedal placed in the arch of my foot to avoid putting too much pressure on the ball of my foot. All rooms include towels, a bath robe and slippers. What causes Failed Mortons Neuroma Surgery? After taking the cortisone injections, and then neurolysis (alcohol) injections, I had surgery on Dec 5. Phone: 513-728-4800. You can walk on the foot (heel) straight away following surgery. After that it was a bit difficult and slow but not excruciating. Hope recovery is still going well. Manage soreness and inflammation. Gelenk-Klinik offers quick appointments for international patients to correspond with your preferred travel itinerary. It is sometimes referred to as an inter-metatarsal neuroma, meaning "between the metatarsals". Thanks for the update on your recovery. The most common symptom is pain or discomfort in the ball of the foot (the area between the arches and toes on the bottom of the foot). The main symptoms of Morton's neuroma include: a shooting, stabbing or burning pain. This is probably related to footwear: High heels and pointed toes cause a lot of pressure on the front arch of the foot, increasing the risk of developing splayfoot. We try to minimise the time between the preliminary examination and the surgery for our international patients to avoid additional travel. Surgery to correct a Mortons neuroma can be done in your podiatrists office with local anesthesia or with IV sedation and local anesthesia. RE Musson, "Ultrasound guided alcohol ablation of Morton's neuroma," Foot & Ankle International, 33(3) (Mar 2012): 196-201. The surgery usually takes between 15 and 20 minutes under general anesthesia or intravenous sedation by a specialist anesthetist. The wide forefoot and maximum cushion of the Altra shoes worked well for my beat up foot. Do you have Mortons Neuroma and decided that you want to have it surgically removed? Orthopaedic surgeon and foot and ankle specialist for Morton's neuroma at Gelenk-Klinik, Aftercare, rehabilitation following Morton's neuroma surgery. 7 Best Powerstep Insoles For Mortons Neuroma, Top 5 Toe Separator Socks For Mortons Neuroma. The basic recovery time from Morton's neuroma surgery is frequently 3 or possibly 4 weeks, even if a top of the foot ("dorsal") surgical approach is used and it can easily take 3-4 months to for the full effects of surgery. That combination and avoiding many of the poorly designed shoes out there has really helped. After accessing the nerve, your surgeon may remove the swollen portion of the nerve or release tissues around the nerve to decompress it. On the day of your surgery, arrive on time and have someone drive you to and from the doctors office, or arrange for someone to pick you up. In addition, there will be a discussion with the anaesthetist, who will again review the patients health condition with respect to anaesthesia. Toll-Free: 888-689-3317. Curious tho, your Ortho was fine with such an early return to activity? Nobody wants to run with that! Going through hell. Go to navigation Go to content. If Morton's neuroma swelling is too severe, the nerve will need to be removed (neurectomy). Camino Ingles (Aug 2019) May 2, 2019. I'll update this again in a few weeks with a report once I've been able to run longer. However, it most often affects the nerves that run between the third and fourth or between the second and third toes. First 2-4 days. Remember, Im not a Doctor. Morton Neuroma Removal Surgery is a procedure that involves removing the Morton's neuroma. Day 2) same thing but for 4 hrs. The underside of my foot still gets intense electric type feelings if I touch it but not when I walk, jump or run.The numbness is strange only if I touch the area between the toes. An intermetatarsal neuroma (also called Morton's neuroma) is a very common condition that most frequently affects the bottom of the ball of the foot and the toes. Need doctor i trust. joint-surgeon, MVZ Gelenk-Klinik Dres Schneider, Ostermeier & Partner rzte-Partnerschaft. When someone clicks and buys through my Affiliate links I earn a little percentage of the income which enables me to maintain this website. Thanks for the comment coldsoil! I had to stop running and it was affecting my every day life. Morton's Neuroma is a painful health condition affecting the ball of your foot, commonly around the area between the third and fourth toes. Before we proceed, let me ask, is surgery your last resort? The anaesthetists at Gelenk-Klinik are very experienced in both methods and will choose the option best for the patient and their circumstances based during a pre-operation discussion. Morton's neuroma may feel as if you are standing on a pebble in your shoe or on a fold in your sock. I feel your pain, Shawn. Check out this article which highlights non-surgical effective treatment options for Mortons Neuroma. I couldn't walk barefoot at all and anything less than a sneaker and I had horrible pain in my 4th toe. We also still perform this procedure if the Morton's neuroma swelling is too severe. I am healing well but very anguish about the stump neuromas I read about. Shawn Franz, it has been five years now since my neuroma surgery and it has been trouble free. The thickening of the nerve that defines a neuroma is the result of compression and irritation of the nerve. The metatarsals are the long bones located in our feet, between the tarsal (ankle) bones and the phalanges (toes). Some days he has no pain at all!! Also known as an interdigital neuroma, a Morton's neuroma is a benign (non-cancerous) tumor of a nerve. From what he said, the fact that he was removing the neuroma, by definition created a new neuroma because it's a cutting of the nerve. In case of any, it is recommended that you pursue other treatment alternatives. (774) 421-9144. . Wondering if you had a similar experience at all - is it just a matter of months for the rest of the swelling / healing process to take place? 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