To book an appointment at Metroplex Foot and Ankle LLP, call us at 214-217-3668. . I'm now three weeks post-op for surgery to remove a damaged nerve in my foot. Studies indicate that over 35% of patients who have had their neuroma removed surgically experience post-neurectomy pain. I think the two bits of advice I'd like to pass on to anyone else undergoing surgery for Mortons Neuroma are: 1. Ease into walking but plan on crutches and no impact (jumping, running, leg press) for 2 months. The room has a bathroom with shower and WC. WIDTHS: Medium (D), Wide (2E) , X-Wide (4E) Orthofeet Ortho-Cushion helps relieve foot & heel pain and works wonders for sensitive feet, including most mobility issues. Morton Neuroma Removal Surgery is a procedure that involves removing the Morton's neuroma. Home Blog Best Shoes for Morton's Neuroma. 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. The concern is developing a Neuroma stump. I have had increasing neuroma trouble for 10 years, which has seriously limited my distance running the past 2-3 years. 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!!!! one of the complications that can occur post op is a hematoma. AAOS does not endorse any treatments, procedures, products, or physicians referenced herein. I began treatment for Morton's neuroma in August. Once approved by the anaesthetist and the surgeon, the surgery can typically be performed the day after the examination. Morton's Neuroma is a painful health condition affecting the ball of your foot, commonly around the area between the third and fourth toes. In addition, there will be a discussion with the anaesthetist, who will again review the patients health condition with respect to anaesthesia. You have really been through a lot and come out on top which is commendable. We always strive to keep pain after Mortons neuroma surgery as low as possible. I did a short 3 mile run. 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. 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. 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. Morton's neuroma pain is a sign that the digital nerve is in distress. A portion of the involved nerve is also removed (neurectomy). On Friday morning, the surgery went very well and took about an hour. You will need to complete any pre-operative tests or laboratory work prescribed by your doctor. Quote Reply. This is the worst time for pain I couldn't walk barefoot at all and anything less than a sneaker and I had horrible pain in my 4th toe. MrTri123. care@joint-surgeon.com, Dr. med. Day 2) same thing but for 4 hrs. Two and a half years later and I'm still completely good to go. Protocols differ, and you should follow the specific instructions of your operating surgeon. Cold therapy socks - these are socks containing 3 ice packs at the ball, heel and ankle. Jason, Glad to hear you are on the mend. Formication or a feeling of numbness in the toes are symptoms of Morton's neuroma. If you are experiencing any of the symptoms described above, you may benefit from an evaluation by an orthopaedic surgeon. Apart from discussing the medical history and a physical examination, this includes MRI images in prone position with contrast agent and in x-rays standing. It involves making an incision at the top of the foot where your neuroma is, and carefully removing the affected nerve. Give your foot the chance to mend, too. Other possible complications include wound infection and delayed healing, worsening of pain, and recurrence of the neuroma. Thrombosis prophylaxis (e.g. After foot surgery, patients are mobile again straight away with the use of a forefoot offloading shoe. I'm really looking forward to healing up and training without the discomfort of this neuroma. High-heeled shoes, which put the foot in a similar position to the sprinters push-off, can aggravate the condition. Neuroma / surgery* Pain . The procedure is done in about 8 minutes. Contact. Key findings. This condition happens when the tissue surrounding the nerves that leads to the toes begin to thicken, causing a sharp and burning pain in the area. Ive always been nervous about the surgery but its nice to know that its really worked for some people. I usually begin with the first option and then perform an ice pack or ice rub. Hello unknown. Morton's neuroma may feel as if you are standing on a pebble in your shoe or on a fold in your sock. After that it was painful but not terrible- think a bad bruise. Neurectomy is also preferably performed from the top of the foot to avoid scarring in the sole of the foot. if a person is too active after the surgery this space can . 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. need doctor recommendations. My third nd fourth toe were numb for a few days after surgery. 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! If the Morton's neuroma is not yet too severe (less than 0.8 cm), it can be operated on just like any other nerve compression syndrome to save the nerve. Gelenk Klinik Orthopaedic You can do Ultrasound Guided Platelet Rich Plasma Injections. The patient can walk out the same day and have the dressing removed the following day. The pain is caused by the thickening tissue around the nerve. I folded a pillow in half and was more It was painless and quickjust a quick snip of the suture holding it in and a fast pull of the drain tube from the incision. Eight days post-op I began walking without thinking about my foot and didn't feel the need to modify my stride to avoid rocking up on the ball of my foot. In the early stages, Morton's neuroma can often be treated conservatively, using insoles and performing foot exercises. Some people have reported that surgery has helped them get their lives back. I had to stop running and it was affecting my every day life. In many cases the anaesthetist uses a so-called nerve block during surgery, which keeps the respective foot pain free for approx. Ive really sufferred with my neyroma and it dramatically affected my physical activity. Tim Jantz #1, DPM . Our experts in foot and ankle surgery are the experienced specialists Dr. Thomas Schneider and Dr. Martin Rinio. Theyre certified foot and ankle surgeons whose continuing education, diagnostics and surgical quality is reviewed annually by an independent German professional society (DAF). Limit your physical activities to those that place minimal pressure on your feet. HELP! I do use the SOLE after market insoles for a bit of arch support. My scar is already barely perceptible and I can walk and exercise normally. If the visa is denied, we will promptly refund the full down payment by remittance. In most cases, surgery has a good recovery rate. The doctor claimed I could be back running at two weeks, but it was too optimistic. You should also wear compression stockings until full weight bearing has been restored. Foot pain can sometimes be a sign of an underlying condition that requires medical attention. Hey Jason Halladay. That combination and avoiding many of the poorly designed shoes out there has really helped. Who qualifies for Morton's neuroma surgery? We have started using a Ten's unit each night and it has made a tremendous difference! Hi Pat. 2. This can cause a sharp, burning pain in the ball of your foot. My doc is taking the conservative route, and I have a sterile dressing that I am not to remove for 2 weeks, and will be in a boot that whole time. Now i have to say when i took them off in the morning my toes hieted a bit. The surgery usually takes between 15 and 20 minutes under general anesthesia or intravenous sedation by a specialist anesthetist. 1 - 6 Saxby House Church lane Scunthorpe (DN15 7HY) If the size is less than 0.8 cm, surgery can be used to save the nerve (neurolysis). Recovery Time After Morton's Neuroma Surgery. I live in dallas. It worked but was annoying to have to stop frequently to take care of the issue. I went off pain meds day 3. 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. 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. You can expect to get back into your shoes after 2-6 weeks after the surgery. My foot was in a velcro boot so I could hobble around quite well. These images are then used to decide together with you if surgery is necessary and what type of surgery is best in your specific case. It is important to also discuss specific activities you have noticed that bring on the pain, as well as things that provide relief (e.g., rest, changing shoes). Fortunately, a repeat surgery for Mortons neuroma recurrence has a similar success rate to the initial surgery (80 to 95%). This will depend on the type of surgery you have opted for. Many people use orthotics to improve the function and stability of their feet. I Write About Morton's Neuroma Because I Have Been Living With This Condition Since 2008. 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. ", Mr. J, (84), Netherlands, knee patient: "Quality, friendlyness, attention for patients and good information", Mr. C. (39), Mexico, knee patient: "Mrs Ponert helped us with all the travel arrangements", Mrs. P. (49), France, foot and ankle patient: "Thanks to Gelenk-Klinik I can do sports again: I'm grateful to it and can say that I was lucky enough to find it. When Can I Go Back To Work After Mortons Neuroma Surgery? Reading these posts has really made ne feel much better about the surgery - thanks very much!! A neuroma is a thickening of nerve tissue that may develop in various parts of the body. I haven't felt, nor thought of, the neuroma so I consider that a huge success. I started running in Altras a few months ago and I'm looking forward to many more miles in them. Side by side comparison. Morton's neuroma is not actually a tumor, but a thickening of the tissue that surrounds the digital nerve leading to the toes. My external stitches are gone but the internal ones are still dissolving.As far as pain, only days 2 and 3 were bad in that my body would not even let me press my foot down to see just how painful it was. I'm really glad I did the surgery--it was the right choice for me. The motion of the toes may be limited while swelling persists. Can't find doctor i trust. You can return to your normal activities within 3-4 weeks. I was diagnosed with a condition called "Morton's Neuroma" that wreaked havoc on my mobility for the better part of 2010. Please be aware that this post may contain Affiliate Links to certain products. Surgery redo's. Then a cadaveric nerve allograft is micro-surgically sewn on to the end of the native nerve. For many nerve compression syndromes (e.g. Same thing with icing. That means taking a tactical break from regular running in favour of low-impact activities, like swimming. Surgical excision of a Morton's neuroma has good clinical results and high overall patient's satisfaction in the long term. Your orthopaedic surgeon will discuss your options with you. Definition. After neurectomy (nerve removal) you will be using the forefoot offloading shoe for about 3 weeks. This means: You will be in the care of your treating physician from the initial examination until after surgery. After accessing the nerve, your surgeon may remove the swollen portion of the nerve or release tissues around the nerve to decompress it. 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. Is it hard to get use to? The podiatrist that did my surgery was pretty nonchalant about my seemingly early return to activity. However, you should elevate your foot as much as possible whilst the wound is healing to prevent swelling. Approximately 5 to 20% of patients may have symptoms return and need additional treatment. First 2-4 days. 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. The most common complication of Morton's neuroma excision is numbness in the toes, which may be permanent and can cause problems with footwear. Possibly TMI for anyone else. Before we proceed, let me ask, is surgery your last resort? However, the average reported recovery time for normal cases (with no complications) is expected to be 2 4 weeks. The actual surgical strategy is therefore often only determined during the procedure after directly analysing and viewing the Morton's neuroma. I'm back in the swing of running now and recently did a number of runs on limestone trails without any discomfort. 30 hours. I am bruise free now. Day 3-14) i slept in them. I am 20 days post op. After week 6 I started running my normal 5 miles without any pain or trouble. Good luck! 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. Lu VM, et al. Wow, you jumped right in shortly after your surgery ehh? Live in dallas. 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. POSTED Nov 21, 2022 . I am only recommending them because I was impressed by the reviews they got. This will again vary from person to person. They further include a mini-bar and safe. Thank you! 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. My husband has been diagnosed with Morton's Neuroma. The pinching prevents the nerve from being adequately supplied with nutrients. Rarely, will you have any complications. Required fields are marked *. The day of and the weeks following my surgery to remove a neuroma. At that point you may shower again. Although this surgery gave her some relief, she continued to have pain in this area making it difficult to walk for extended periods. 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. Got an MRI ordered and then it seems like surgery is iniveitable. I moved out of the zero drop shoes into more normal shoes and forced myself to walk normally as much as possible in addition to doing some PT exercises to stretch and work the tendons in my ankle. Thanks for sharing your story! I am healing well but very anguish about the stump neuromas I read about. Camino Ingles (Aug 2019) May 2, 2019. If Morton's neuroma swelling is too severe, the nerve will need to be removed (neurectomy). However, a whopping 80% of corrective surgery cases are unsuccessful. It could be the result of an incorrect diagnosis, leading to a failed surgery, or it is a result of the neuroma stump formation. Hope recovery is still going well. Checking the position of the toes and foot for common deformities that may also cause pain in the forefoot. How is Morton's neuroma surgery performed at Gelenk-Klinik? Surgery cases are unsuccessful or a feeling of numbness in the toes and foot for common that... 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