Studies indicate that over 35% of patients who have had their neuroma removed surgically experience post-neurectomy pain. Ive always worn Vans as Im an avid bmx rider but maybe it was all of the high impact biking that got me the neuroma in the first place. Morton's neuroma care at Mayo Clinic; . Thrombosis prophylaxis (e.g. If you sometimes feel that you are "walking on a marble," and you have persistent pain in the ball of your foot (forefoot), you may have a condition called Morton's neuroma. You will also be using a special shoe to offload the forefoot for 2 to 3 weeks. This can cause numbness, tingling, or pain similar to what you had . If you plan to have outpatient physiotherapy after surgery, we will gladly provide an estimate of costs. I wanted to make this thread to chronicle my recovery from Morton's Neuroma surgery. Massaging the foot during the first 3 months from surgery . The nerve becomes swollen because of the nerve trapping between the heads of the small bones. The end of the nerve that is still attached to the spinal cord (the . The older the patient, the longer the forefoot will be swollen. when I perform neuroma surgery I try to make that the only procedure. I don't have any stiffness in that area of my foot and if I try to dig into it to find thicker tissue, I can't really feel anything. Symptoms include pain, burning, numbness and tingling between two of the toes of the foot. Ive really sufferred with my neyroma and it dramatically affected my physical activity. The thickening of the nerve that defines a neuroma is the result of compression and irritation of the nerve. This shoe shifts the entire bodyweight to the heel. 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 . Right at two weeks post-op my right ankle started feeling super painful and was swollen a good bit. Cryosurgery can be very effective in desensitising nerves that have become damaged due to injury. Maybe even snow sports now? Is Surgery For Mortons Neuroma successful? Even doctors themselves will advise you to try out non-surgical treatments first before you decide to go under the knife. . Thanks Jason. Hi Shawn. Save my name, email, and website in this browser for the next time I comment. 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. It is normally found in the nerve between the third and fourth toes . Feeling of having a "pebble in your shoe" or "walking on razor blades". Skip to content +44 (0) 20 7046 8000 . 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. I saw an orthopedic doc and he immediately suggested surgery. When properly done, the nerve should be removed far back so that the nerve does not get compressed any further. Feel free to send me a personal message if you'd like. 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. This allows the native nerve end to grow . I was able to lead climb and not worry about my foot much. Hi, I just had surgery and pray I can plan a ultra for next year. Ease into walking but plan on crutches and no impact (jumping, running, leg press) for 2 months. Before we proceed, let me ask, is surgery your last resort? In fact, I think climbing is good therapy because the weight is mostly on my big toe and each step is very calculated. Site Map. How will my treatment be organized at Gelenk-Klinik? Possibly TMI for anyone else. Some people choose to have corrective/ revision surgery because the post-surgery pain is actually worse than the pre-surgery pain. In some cases, a stump neuroma may form. I kept my foot elevated and enjoyed some solid couch time. After sending these documents to us through our website, we will send you patient information including proposed treatment and a binding estimate of costs within 12 days. Assessing range of motion of the toe joints, as well as other joints, to see if there is irritation that may suggest. joint-surgeon, MVZ Gelenk-Klinik Dres Schneider, Ostermeier & Partner rzte-Partnerschaft. We always strive to keep pain after Mortons neuroma surgery as low as possible. Surgery to correct a Mortons neuroma can be done in your podiatrists office with local anesthesia or with IV sedation and local anesthesia. It is not the intention of FootVitals.com to provide medical advice, diagnosis, or treatment recommendations. Intermetatarsal ligament release (decompression): This is a simple operation to release the ligament between the metatarsal bones. I hope it can be helpful to anyone else going through this condition. Re: My recovery from Morton's Neuroma Surgery [Nick2413] [ In reply to] Quote | Reply. Evaluating the skin of the foot and ankle for signs of excessive pressure points (areas that are painful to the touch). The metatarsal bones are located . Approximately 5 to 20% of patients may have symptoms return and need additional treatment. Any recollection of your experience with this? !Anyway - I'm amazed at how soon you began pushing things and gonna go out on a limb and say you may have been up and running sooner if you had laid off and not pushed thingsyou only get one pair of feet and not much happens activity wise without them. 30 hours. In other words, it can take 3-4 months to become fully mobile. I found good relief in the ankle about three weeks post-op and neared about 80 percent normal feeling in my ankle (it hurt a bit still on deep steps down, etc. You should seek evaluation from an orthopaedic surgeon if you have continued pain or discomfort in your forefoot. Nerve sclerosis with alcohol injectionsno help whatsoever. This can cause numbness, tingling, or pain similar to what you had before the surgery. Hi everyone. forearm crutches). Many doctors encourage that you consider surgery as the very last resort due to some undesirable outcomes of surgery, This short video shows how a Mortons Neuroma Neurectomy is normally done. Premium orthotic insoles with anatomical arch support (removable) and Arch Booster re-align the foot and entire body posture. The actual surgical strategy is therefore often only determined during the procedure after directly analysing and viewing the Morton's neuroma. Actually my favorites are the Superiors. Learn about the various types of orthotics used to help restore mobility. Recovery from Morton's neuroma surgery takes up to 3 months in total. ), 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. The physician then uses the results to determine the suitable surgical technique together with the patient. Patients who have cryogenic neuroablation are less likely to see symptoms return. I allowed myself a week off work but actually I really struggled with concentration the following week, and trying to work effectively while keeping my foot elevated was difficult. I have had increasing neuroma trouble for 10 years, which has seriously limited my distance running the past 2-3 years. After that it was painful but not terrible- think a bad bruise. Thomas SchneiderOrthopaedic Specialist at the Gelenk Klinik Orthopaedic Hospital. The symptoms may be worse when you move your foot or wear tight or . The goal is to reduce the squeezing action by the metatarsals and remove the irritation on the nerve by the ligament. Ten days post-op I went rock climbing again, using bigger, more comfortable climbing shoes and this felt very reasonable. Do you have Mortons Neuroma and decided that you want to have it surgically removed? Monday morning I went to see Dr. Sauer to have the suction drain removed. They are most commonly felt between the toes, however, people who suffer from it have stated that these symptoms sometimes occur in the ball of the foot. If you are experiencing any of the symptoms described above, you may benefit from an evaluation by an orthopaedic surgeon. feeling like a pebble or lump is stuck under your foot. Morton's neuroma may feel as if you are standing on a pebble in your shoe or on a fold in your sock. We typically perform Mortons neuroma surgery under general anaesthesia. With my issues with the infection of the incision, it was hard for me to tell what discomfort was related to what. Very interested to see how you have fared since your last update since I've had a hard time finding reports from distance/ultra runners on how it's worked out for them. Gelenk-Klinik Gundelfingen is DIN ISO 9001:2015 certified. The recovery period after surgery for Morton's neuroma is short. These typically fade as you progress through your recovery. About a third of people just need simple treatments including modification of their footwear. Eight weeks post-op (four weeks post-infection.) This will depend on the surgeon you use, but there are more cases of successful procedures, 70% than the failed procedures (30%). HELP! Can't find doctor i trust. I can even run this way, in good running shoes with a wide enough toe box but when I put socks back on, even with the good shoes, it usually acts up again. 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. Whilst unable to bear the full weight you will have forearm crutches. 2. joint-surgeon, The foot viewed from the sole: In this case, Morton's neuroma is located between the 2nd and 3rd toe. How is Morton's neuroma surgery performed at Gelenk-Klinik? It causes acute shooting, burning or stabbing pain in the metatarsus (metatarsalgia) and in the toes. It is not all bad news about Mortons Neuroma surgery. Our study shows surgical excision of Morton's neuroma is a reliable procedure and it gives a good outcome and it is maintained over a period of 3 years. 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. And as far as numbness, it still feels like Im stepping on a skinny branch when I walk, and theres no feeling between the toes whatsoever. Green's definition of a neuroma is "the inevitable, unavoidable, and biologic response of the proximal stump after it has been divided in situations where regenerating axons are impeded from re-entering the distal stump."(1) A number of unknown factors make certain patients more susceptible to neuroma formation. The doctor claimed I could be back running at two weeks, but it was too optimistic. I appreciate your comments. How To Treat Mortons Neuroma At Home (Tips From My Personal Experience), Right diagnosis and procedure but unfavorable outcomes severe pain than before surgery, excessive swelling, infection. As far as surgery goes, this one seems quite minor and I'm glad to be healing so quickly as there's snow to be slid! The inpatient stay after surgery for Morton's neuroma is typically 2 days. Traditionally, the incision has been done on the dorsal side, or top, of the foot, although it can be done using a plantar approach (through the bottom of the foot). Stick these in the freezer and wear them when you have your foot elevated. At night I massage the incision very lightly using an ointment with comfrey and St. Johns Wort. Read & get updated from our experts for Morton's neuroma patients. 'As Morton's neuroma is usually associated with . Change your bandages regularly, and follow your doctor's instructions for how and when to do this. 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? After the incision is completely healed, massaging the forefoot can help prevent the development of scar tissue. However, you should elevate your foot as much as possible whilst the wound is healing to prevent swelling. Feb 19, 2016. Day 2) same thing but for 4 hrs. 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