FYI: There are now over 200 comments on this blog post (as of May 2013). These are merely suggestions, not prescriptions. Site Map. In case of any, it is recommended that you pursue other treatment alternatives. Orthopaedic surgeon and foot and ankle specialist for Morton's neuroma at Gelenk-Klinik, Aftercare, rehabilitation following Morton's neuroma surgery. Women are four times more likely to develop Morton's neuroma than men. There is good news for those who had undesirable results with Mortons Neuroma surgery. The majority of people with Mortons neuroma are able to find relief with conservative treatments, which may involve a change in footwear (wearing shoes with wider, stiffer soles that are well padded and low heels), custom orthotic therapy, physical therapy, nonsteroidal anti-inflammatory drugs (NSAIDs), corticosteroid injections, alcohol injections, or a combination of these therapies. Something weird's going around town, though, what with all the foot injuries/repairs. This involves massage, strengthening, and mobility exercise. It is sometimes referred to as an inter-metatarsal neuroma, meaning "between the metatarsals". fon: +49-761-79117-228 You should see a foot specialist or your primary care doctor for any type of foot pain that lingers more than a few days. Cold therapy socks - these are socks containing 3 ice packs at the ball, heel and ankle. After that it was a bit difficult and slow but not excruciating. Tingling or numbness at the base of the 2nd-3rd or 3rd-4th toes. First 2-4 days. Fortunately, a repeat surgery for Mortons neuroma recurrence has a similar success rate to the initial surgery (80 to 95%). This causes the typical symptoms such as numbness, shooting pain, and tingling. More Information. Recovery. But how long will it be? I have no doubt you'll be in great shape for Labor Day. I'm back in the swing of running now and recently did a number of runs on limestone trails without any discomfort. The exact cause of a Mortons neuroma is not known, but current research suggests it is likely the result of entrapment (i.e., compression or squeezing) of the common digital plantar nerves. I'll update this again in a few weeks with a report once I've been able to run longer. First the physician will perform a thorough diagnostic examination and imaging. It's been five days since the surgery now and I wanted to document the surgery and my recovery a bit. This allows the native nerve end to grow . 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. Ease into walking but plan on crutches and no impact (jumping, running, leg press) for 2 months. Limit your physical activities to those that place minimal pressure on your feet. Most questions have already been asked and answered. Podiatrists providing Foot Surgery services to Richardson, Dallas and Garland, TX. The bruising lasted until about the 14th day post surgery. What happens if Morton's neuroma goes untreated? I am using brand new gym shoes which I think is important to avoid introducing bacteria to the area. It was bad enough I couldn't walk stairs normally at all and had to limp around everywhere. Camino Frances 2018, 2021. RE Musson, "Ultrasound guided alcohol ablation of Morton's neuroma," Foot & Ankle International, 33(3) (Mar 2012): 196-201. I am only recommending them because I was impressed by the reviews they got. Nerve compression is caused by mechanical pressure on the plantar nerve of the foot. Day 2) same thing but for 4 hrs. Night pain is rare. We can also provide an interpreter (e.g. Clinic According to Trescot, cryoanalgesia is a viable option for small, well-localized nerve lesions such as a neuroma. Curious how your foot is doing now, a year later? In order to fully assess Morton's neuroma, we need current MRI images. I wanted to make this thread to chronicle my recovery from Morton's Neuroma surgery. 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. Patients who have cryogenic neuroablation are less likely to see symptoms return. Your podiatrist may discuss surgical treatment options with you if your symptoms have persisted or worsened after trying multiple conservative treatments. Plantar fasciitis surgery; Morton's neuroma surgery; Reconstructive surgery to fix problems with foot structure . I kept my foot elevated and enjoyed some solid couch time. Pain is typically between the base of the third and fourth toes, but it can occur between the second and third toes as well. Otherwise, there is a risk of recurrence, so a renewed irritation of the nerve stump with painful swelling of the connective tissue. Nerves of the Foot. If the nerve (yellow) is irritated, burning or stabbing metatarsal pain occurs throughout the area it supplies. In most cases, surgery has a good recovery rate. It is an outpatient procedure, which means that you are able to go home the same day. fax: +49-761-79117-999 That's awesomeI'm one week post-surgery right now. Corticosteroid injections seem to provide successful relief from Mortons neuroma about 50% of the time. However, there may be a mild swelling in the foot for up to one year, on and off. This will depend on the surgeon you use, but there are more cases of successful procedures, 70% than the failed procedures (30%). Morton's neuroma pain is a sign that the digital nerve is in distress. My scar is already barely perceptible and I can walk and exercise normally. My Ortho Surgeon plan has me off of it for 2 weeks, elevated and iced. The swelling is usually the worst between . Cryogenic neuroablation or cryo injection therapy: During this procedure, extremely cold temperatures are applied to the nerves to destroy nerve cells and the myelin sheath that covers the nerve. The symptoms may be worse when you move your foot or wear tight or . You will be instructed to keep your foot and leg elevated while sitting or lying down and make sure your bandages are clean, dry, and intact, even when bathing. 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. Good to hear and I LOVE the Altras! Both procedures take about 30 minutes. This speeds up the healing process and the patient is able to use the foot sooner. It is often used to treat bunions but may be used for intermetatarsal neuroma if the metatarsal is malpositioned or malformed. All to often the nerve is simply removed (neurectomy) to treat Morton neuralgia without evaluating the procedure to save the nerve. 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. 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. Nerve recovery is along and I suspect many of the horror stories are from people who expect full recovery at 4 months. The non-conservative options such as surgery are meant to remove the damaged nerve . Eight weeks post-op (four weeks post-infection.) Hi jwood. Morton's neuroma Blog provides many treatment options for Morton's neuroma. I would recommend the clinic to anyone. Mortons Neuroma Nerve Decompression Surgery, Recovery Time After Mortons Neuroma Surgery. I'm glad someone is reading this and hopefully my experience will help you make a decision and know what to expect if you end up doing the surgery. However, the average reported recovery time for normal cases (with no complications) is expected to be 2 - 4 weeks. I live in dallas. Like Many Women, I Used To Love High Heels For Work And My Mistake Was To Choose And Walk In Narrow Fitting Shoes, Yet I Have Wide Feet. After foot surgery, patients are mobile again straight away with the use of a forefoot offloading shoe. MrTri123. 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! In the greater Twin Cities area, connect with Dr. Silverman at (952) 224-8500. 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. The patient is fully conscious during surgery. Here at Gelenk-Klinik, a close relationship between the physician and their patient is important. The problem is (as you have read, with a very good post as well) people respond to many different things. Skip to content +44 (0) 20 7046 8000 . What Is The Natural Cure For Mortons Neuroma? ), Foot in boot with suction drain (two hours post-op), About to remove the drain tube 72 hours post-op, Easy toproping with mis-matched shoes one week post-op, Seven weeks post-op using Silvadene ointment. The actual surgical strategy is therefore often only determined during the procedure after directly analysing and viewing the Morton's neuroma. This will again vary from person to person. Morton's neuroma usually affects the nerves between your 3rd and 4th toes. Recovery is complete in 2 months in 50% of individuals, but may take up to a . This shoe shifts the entire bodyweight to the heel. In my practice, I'd wager less than 5% of suffers with a TRUE Morton's neuroma (it is frequently misdiagnosed) fail to respond to *something* and elect to undergo surgery (either decompression or nerve resection). 2. Rarely, will you have any complications. This procedure will not cause any residual numbness in the toes. I hope you got the answers to your questions. Refer a patient. Nerve sclerosis with alcohol injectionsno help whatsoever. Day 2 Tuesday Well I had a good night's sleep, thank goodness. I would think a local podiatrist would be able to help you though, especially in a large market like Dallas. I was able to lead climb and not worry about my foot much. Some people choose to have corrective/ revision surgery because the post-surgery pain is actually worse than the pre-surgery pain. Find out what Morton's neuroma surgery involves, including recovery and long-term impact. Any recollection of your experience with this? Right very flared up. At day 6 I started walking short distances without the boot but with the bandages on (7 feet or so) on occasion and walked 5 blocks with the boot. I just updated this post with a few more photos and information since February 24th. Swelling is a normal symptom of the neuroma as well. It was nice to only be in the boot a few days. The goal is to reduce the squeezing action by the metatarsals and remove the irritation on the nerve by the ligament. Here are simple techniques which may help you: Thank you very much for reading. Going through hell. My advice to you, one Mortons Neuroma sufferer to another, once you are diagnosed with this condition, do not rush into surgery. Hi everyone. Same thing with icing. High-heeled shoes, which put the foot in a similar position to the sprinters push-off, can aggravate the condition. The most common complication of Mortons neuroma excision is numbness in the toes, which may be permanent and can cause problems with footwear. Thrombosis prophylaxis (e.g. If the personal quality of life has been reduced and pain is severe, and if conservative treatment is unsuccessful, surgery is an option. The infection sounds awful--hope you are doing better. Definition. Recovery from Mortons neuroma surgery takes up to 3 months in total. To remove a neuroma, a small incision is made in the web space between the two affected toes. Other complications associated with this surgery are described below. Athletic activities can be resumed after 8 weeks. Just curious if you remember doing any self massage or went for a massage for your foot during your recovery? In the first 2 months after the operation you should avoid heavier strain and rolling of the foot. I'm really looking forward to healing up and training without the discomfort of this neuroma. The inpatient stay following the procedure is typically 3 days. Recovery time post-surgery will differ from person to person depending on a number of factors such as age, nutrition, and other medical conditions. I no longer think about my neuroma anymore. I was just curious what you use for footwear. On Friday morning, the surgery went very well and took about an hour. Dr. Thomas Schneider, MD. 7 Best Powerstep Insoles For Mortons Neuroma, Top 5 Toe Separator Socks For Mortons Neuroma. Another possible cause is a foot or gait abnormality, which can lead to instability and can also . 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. Pain that improves with removing your shoes, flexing your toes, and with a foot massage. Mortons neuromas in both feet can be corrected at the same time, or in two separate procedures. C Akermark, "A prospective 2-year follow-up study of plantar incisions in the treatment of primary intermetatarsal neuromas (Morton's neuroma)," Journal of Foot and Ankle Surgery, 14(2) (Feb 2008): 67-73. Neuroma / surgery* Pain . You may have stinging, burning or numbness in the affected toes. Neuromas bothfeet. We open the band of connective tissue over the metatarsal head to permanently eliminate pressure on the nerve. After the incision is completely healed, massaging the forefoot can help prevent the development of scar tissue. Although this surgery gave her some relief, she continued to have pain in this area making it difficult to walk for extended periods. Some people have reported that surgery has helped them get their lives back. 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. You should avoid heavier activities (running, jumping, etc.) But even men primarily runners training a lot can develop it. Change your bandages regularly, and follow your doctor's instructions for how and when to do this. 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. What Is a Neuroma? 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. forearm crutches). Mostly I'm stoked on Saucony Peregrines. Formication or a feeling of numbness in the toes are symptoms of Morton's neuroma. . Always seek the advice of a podiatrist, physician or other qualified health care professional for diagnosis and answers to your medical questions. All rights reserved. Key findings. 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