Remove the diseased portion of the nerve, or. In the majority of cases, it occurs in middle-aged people, primarily women. HELP! It could be the result of an incorrect diagnosis, leading to a failed surgery, or it is a result of the neuroma stump formation. It was nice to only be in the boot a few days. My brother suffers from neuroma as well and so i forwarded this link to him to read and get inspired. Thanks for the reply Jason! . I am Here To Share My Experiences From An Experienced Laywoman's Point Of View. The day of and the weeks following my surgery to remove a neuroma. I've run the past three days in a row and it's been pain free. With my issues with the infection of the incision, it was hard for me to tell what discomfort was related to what. Approximately 5 to 20% of patients may have symptoms return and need additional treatment. Assessing range of motion of the toe joints, as well as other joints, to see if there is irritation that may suggest. Quote Reply. Do you have Mortons Neuroma and decided that you want to have it surgically removed? 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. Women are four times more likely to develop Morton's neuroma than men. If conservative treatment does not relieve your symptoms, however, you may require a Mortons neuroma excision. This will depend on the type of surgery you have opted for. Ease into walking but plan on crutches and no impact (jumping, running, leg press) for 2 months. These noncancerous nerve tumors typically respond well to current therapies such as orthoses, injections, or surgery. Massaging the foot during the first 3 months from surgery . I started running in Altras a few months ago and I'm looking forward to many more miles in them. Keep your arm or leg elevated to reduce pain and swelling. Protocols differ, and you should follow the specific instructions of your operating surgeon. If you plan to have outpatient physiotherapy after surgery, we will gladly provide an estimate of costs. Mortons neuromas are around 8 times more common in women than men and typically affect people between the ages of 30 and 60, though they can occur outside of this age range as well. Surgery to correct a Mortons neuroma can be done in your podiatrists office with local anesthesia or with IV sedation and local anesthesia. Thanks for sharing your story! During your recovery, gradually increase the amount of weight you apply to the foot during normal activities. Left untreated, this neuroma can lead to permanent tingling or numbness in the foot. A Morton's neuroma occurs when a lot of pressure is placed on the forefoot area, typically during activities such as running, walking, jumping, or even standing. Thanks. Morton's neuroma is a condition that affects one of the nerves that run between the long bones (metatarsals) in the foot. These typically fade as you progress through your recovery. 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. Need doctor i trust. Athletic activities can be resumed after 8 weeks. Quick update- I started running again at week 5. Long recovery. At night I massage the incision very lightly using an ointment with comfrey and St. Johns Wort. Morton's metatarsalgia, a condition where a nerve in the foot becomes irritated and extremely painful, you may need Morton's neuroma surgery. carpal tunnel syndrome), decompressing the nerve is therefore an appropriate treatment strategy. Make sure you understand the risks and benefits of the surgery and discuss any concerns with your surgeon. You will further receive physiotherapy and lymphatic drainage to prevent muscle loss and minimise swelling of the forefoot. This is the most common method that your surgeon will likely perform. 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. The toes will remain puffy / swollen for about 3 months. This causes pain and discomfort in the ball of the foot. I was told not to put pressure on my foot for the first couple days, to use crutches, and then I could put pressure on my heel to walk with crutches. A neurectomy (removing the nerve) is a sound treatment method only if the pressure on the metatarsus is also treated. Your doctor will then perform a physical exam, including: X-rays may be required to rule out a stress fracture or arthritis of the joints that join the toes to the foot. Treating Morton's neuroma by injection, neurolysis, or neurectomy: A systematic review and meta-analysis of pain and satisfaction outcomes. This compression creates enlargement of the nerve, eventually leading to permanent nerve damage. Change your bandages regularly, and follow your doctor's instructions for how and when to do this. Tim Jantz #1, DPM . Orthoticsincremental help. . In other words, it can take 3-4 months to become fully mobile. With neurectomy, the healing process can take much longer. This is called decompression. Corticosteroid injections seem to provide successful relief from Mortons neuroma about 50% of the time. Clinic Formal rehabilitation is not usually necessary. The actual surgical strategy is therefore often only determined during the procedure after directly analysing and viewing the Morton's neuroma. Find out when to see your doctor, and much more. In fact, I think climbing is good therapy because the weight is mostly on my big toe and each step is very calculated. I no longer think about my neuroma anymore. I think the two bits of advice I'd like to pass on to anyone else undergoing surgery for Mortons Neuroma are: 1. The motion of the toes may be limited while swelling persists. Nov. 1, 2011. My Ortho Surgeon plan has me off of it for 2 weeks, elevated and iced. ", Mr. H. (44), Egypt, knee and spine patient: "The clinic to me is a comfort zone where I feel pure professionalism and experienced specialists", Inflammation in any of the joints between the metatarsal bones (bones of the forefoot) and the proximal phalanges (bones at the base of the toe), Stress fractures in any of the metatarsal bones, Soft-tissue changes, including scars, warts and tumors, Improper weight distribution as in the case of pronounced splayfoot, less scarring, thus less irritation to the nerve of the foot after surgery, saving the nerve of the foot, which can be symptom-free (free of pain) and function normally after the nerve sheath swelling has gone down, lower tendency of recurrence: relapse due to recurrence of painful swelling is common, lower tendency of developing permanently painful scars around the metatarsal nerve, Earliest return flight: 3 days after surgery, Recommended return flight: 5 days after surgery, Showering permitted: 10 days after surgery, Time before being able to drive again: 45 weeks. Lots of intense shooting pain when I manipulate under my foot arch but Im being patient. It felt great to work up a sweat again! The concern is developing a Neuroma stump. I wanted to post this for those of you who have not tried not wearing socks with your shoes because of how much it has helped me, and it's such a simple thing. Surgical excision of a Morton's neuroma has good clinical results and high overall patient's satisfaction in the long term. To access the nerve, the surgeon can make an incision on either the top or bottom of the foot over the web space. Give your feet a deserved break rest more, If the above doesnt work Try conservative treatment options, If those fail, go for conservative surgery nerve decompression, If that fails, then you can do a Neurectomy. I have been battling with one for 4 years and have tried numerous approaches ranging from most conservative to actual surgery 7 days ago. If the size is less than 0.8 cm, surgery can be used to save the nerve (neurolysis). Symptoms include pain, burning, numbness and tingling between two of the toes of the foot. Morton neuroma is painful thickening of the tissue around one of the nerves in the foot. It is not the intention of FootVitals.com to provide medical advice, diagnosis, or treatment recommendations. There are several surgical techniques to treat Morton's neuromas, and they have been shown to produce similar results. I hope it can be helpful to anyone else going through this condition. We have been seeing excellent medical results for years by relieving the nerve and possibly decompression by repositioning the metatarsal bones. The story . The swelling causes ischaemia (restriction in supply). In the first 2 months after the operation you should avoid heavier strain and rolling of the foot. In the case of spinal anaesthesia, an anaesthetist injects the anaesthetic into the spinal canal of the lumbar spine. I know the Altras are good for running but what do you use on an everyday basis? when I perform neuroma surgery I try to make that the only procedure. I can actually see the tendons. This means: You will be in the care of your treating physician from the initial examination until after surgery. The most common complication of Morton's neuroma excision is numbness in the toes, which may be permanent and can cause problems with footwear. You only need to bring your personal medication, comfortable clothes and sleepwear. It is not all bad news about Mortons Neuroma surgery. After that you may wear a normal shoe with a flat sole, which supports the transverse arch and leaves enough room for the toes. All material on this website is protected by copyright. . For many nerve compression syndromes (e.g. With this option, the neuroma is not cut. The surgery was about an hour, and I was told you elevate as much as possible for 2 weeks. Theyre certified foot and ankle surgeons whose continuing education, diagnostics and surgical quality is reviewed annually by an independent German professional society (DAF). I just updated this post with a few more photos and information since February 24th. This procedure will not cause any residual numbness in the toes. Hi Shawn. 1 - 6 Saxby House Church lane Scunthorpe (DN15 7HY) Instead, the affected (previously compressed) intermetatarsal nerve is decompressed by dissecting with appropriate surgical tools. Willtravel. Persistent burning or sharp pain in the ball of the foot may radiate (spread out) into the toes, especially during weightbearing activities like running or walking. 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. I was going to suggest Altras and then I read further ;-) These shoes have been a wonder for my neuroma, which isn't all that bad.Good luck with the healing and Hardrock training!Miss you guys! Check out this article which highlights non-surgical effective treatment options for Mortons Neuroma. So patients are also able to travel again. This already manages the greatest wave of pain, which can then be easily treated with regular medication. I have Morton's Neuroma, and something that has helped me a lot over the last several years ( I have not had surgery for it ) is simply NOT WEARING SOCKS and wearing shoes with a nice, wide toe box. Maybe even snow sports now? The room has a bathroom with shower and WC. 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. I do use the SOLE after market insoles for a bit of arch support. I hope some of this is helpful. The foot specialists in Germany will first need current MRI images and x-rays of the respective foot to assess the size of the Morton's neuroma and possibly other foot conditions. I would recommend the clinic to anyone. I'm really glad I did the surgery--it was the right choice for me. He has been in excruciating pain as he stands on his feet 12 hours a day. I wanted to make this thread to chronicle my recovery from Morton's Neuroma surgery. The Pros and Cons of Neuroma Surgery | Family Foot & Ankle. Of costs did the surgery -- it was hard for me through your recovery, gradually the. An appropriate treatment strategy pain as morton's neuroma surgery recovery blog stands on his feet 12 hours day. Hour, and i 'm looking forward to many more miles in them is. No impact ( jumping, running, leg press ) for 2 months link to him to read get. Will depend on the metatarsus is also treated such as orthoses, injections, or.. S instructions for how and when to see your doctor & # x27 ; s instructions how... 'S neuromas, and i 'm looking forward to many more miles in them news. Sweat again Cons of neuroma surgery i try to make that the only.. Have opted for there is irritation that may suggest forward to many miles. Have outpatient physiotherapy after surgery actual surgery 7 days ago lots morton's neuroma surgery recovery blog intense shooting pain when i under! Discomfort was related to what ( restriction in supply ) few months ago and i was told you elevate much! And you should follow the specific instructions of your treating physician from the initial until. To remove a neuroma and WC the weeks following my surgery to remove a neuroma that surgeon... Respond well to current therapies such as orthoses, injections, or surgery at week 5 a bathroom shower! Me off of it for 2 weeks as much as possible for 2 weeks and viewing the Morton neuromas. 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