However, there may be a mild swelling in the foot for up to one year, on and off. Germany . Mostly I'm stoked on Saucony Peregrines. 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. Another possible cause is a foot or gait abnormality, which can lead to instability and can also . Our goal is for you to experience as little pain as possible after surgery. You could try other conservative methods. 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. What's the latest? I am healing well but very anguish about the stump neuromas I read about. I did a short 3 mile run. The Pros and Cons of Neuroma Surgery | Family Foot & Ankle. Save my name, email, and website in this browser for the next time I comment. This can cause numbness, tingling, or pain similar to what you had . The infection sounds awful--hope you are doing better. It is reported that this pain may be difficult to locate. Metatarsal osteotomy: This surgery involves cutting the metatarsal bone of the big toe and realigning the bone. 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. Is Surgery For Mortons Neuroma successful? Scheduling your appointment for foot surgery in Germany, "Centre for foot and ankle surgery" (ZFS), Mr. C. B. Surgery is reasonable if conservative treatments such as foot orthotics, shoe supply such as butterfly insoles, foot exercises and self-massage or injecting local anaesthetics cannot provide long-term pain relief. Day 2 Tuesday Well I had a good night's sleep, thank goodness. Although surgery is usually successful, the procedure can result in permanent numbness in the affected toes. 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. Swelling is a normal symptom of the neuroma as well. A complete Recovery from Morton's neuroma may take anywhere between 4 to 6 months, on an average. 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. Our experts in foot and ankle surgery are the experienced specialists Dr. Thomas Schneider and Dr. Martin Rinio. The nerve becomes swollen because of the nerve trapping between the heads of the small bones. For longer distances, you should also use forearm crutches to relieve your foot. Gelenk Klinik Orthopaedic Pain that improves with removing your shoes, flexing your toes, and with a foot massage. Appointment Request. Surgical intervention with neurectomy (removal of part of the nerve) or decompression of the nerve has the highest success rate, with most studies reporting an 80 to 95% success rate. I couldn't walk barefoot at all and anything less than a sneaker and I had horrible pain in my 4th toe. One treatment option is a Morton's Neuroma injection. If you plan to have outpatient physiotherapy after surgery, we will gladly provide an estimate of costs. Patients frequently describe the sensation of having a pebble or marble under their forefoot as they walk. My brother suffers from neuroma as well and so i forwarded this link to him to read and get inspired. Similar to cryosurgery for Morton's neuroma, Cryosurgery treatment of bursae, usually results in a small patch of numbness at the base of the toes and of the two toes of the affected metatarsal interspace. 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. 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. I was able to lead climb and not worry about my foot much. How will my treatment be organized at Gelenk-Klinik? The metatarsal bones are located . Theyre certified foot and ankle surgeons whose continuing education, diagnostics and surgical quality is reviewed annually by an independent German professional society (DAF). I never think about it any more and don't have any neuroma pain like I used to. I just updated this post with a few more photos and information since February 24th. Some people may also have tingling or numbness in their foot. The Altra shoes are great with the wide forefoot/toebox that allows your toes to spread and not be cramped. My advice to you, one Mortons Neuroma sufferer to another, once you are diagnosed with this condition, do not rush into surgery. If the visa is denied, we will promptly refund the full down payment by remittance. Lu VM, et al. I hope you got the answers to your questions. I guess recent studies show that if not fully healed, impact of the surgical area can cause injury and the stump. Thanks for your replies, Jason! RE Musson, "Ultrasound guided alcohol ablation of Morton's neuroma," Foot & Ankle International, 33(3) (Mar 2012): 196-201. 2. Toll-Free: 888-689-3317. I'm back in the swing of running now and recently did a number of runs on limestone trails without any discomfort. The first two weeks are about keeping your wound clean, your foot elevated to reduce swelling, and general rest. Other types of procedures for Mortons neuroma include: You will be given a prescription for a pain medication, such as acetaminophen. Morton Neuroma Removal Surgery is a procedure that involves removing the Morton's neuroma. During your inpatient and outpatient stay our multi-lingual (English, Russian, Spanish, Portuguese) case management team will be there to assist you. Morton's neuroma (red) as swelling between the metatarsal bones of the toes (blue). The inpatient stay following the procedure is typically 3 days. 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. Fortunately, a repeat surgery for Mortons neuroma recurrence has a similar success rate to the initial surgery (80 to 95%). Learn about the various types of orthotics used to help restore mobility. Long-lasting analgesia may happen with cryosurgery.2 Having performed cryosurgery for about seven years, I strongly believe that cryosurgery remains an excellent treatment option for foot neuromas and other nerve conditions . The surgery was about an hour, and I was told you elevate as much as possible for 2 weeks. 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. Right at two weeks post-op my right ankle started feeling super painful and was swollen a good bit. In fact, I think climbing is good therapy because the weight is mostly on my big toe and each step is very calculated. 2 months out of surgery and most of the swelling is gonebut if I lightly press on the metatarsal bones beneath my foot they feel very bruised (which I'd way rather take over nerve pain but still an annoyance). You will also be using a special shoe to offload the forefoot for 2 to 3 weeks. 30 hours. Morton's neuroma is a thickening of the metatarsal nerves. By using this website, you agree to our, Mortons Neuroma Excision What to Expect, Peripheral Arterial Disease in the Feet - What You Can Do, Poor Circulation in Feet - What You Should Know, Top of Foot Pain - Symptoms, Causes & Treatment. That combination and avoiding many of the poorly designed shoes out there has really helped. Pain is typically between the base of the third and fourth toes, but it can occur between the second and third toes as well. 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 pain is a sign that the digital nerve is in distress. The goal is to reduce the squeezing action by the metatarsals and remove the irritation on the nerve by the ligament. I began treatment for Morton's neuroma in August. Getting Patients Home After Surgery Can Help Them Sleep Better, Lower Body Strength A Key Factor In Knee Injuries Among Young Female Athletes, Orthopedic Surgeon Discusses Whats Next For Patrick Mahomes Injured Ankle. This is the worst time for pain All rights reserved. I Write About Morton's Neuroma Because I Have Been Living With This Condition Since 2008. Recovery Time After Morton's Neuroma Surgery. The irritated nerve thickens and gradually becomes more painful as a result of the pressure on it. Which approach your surgeon uses depends on many factors, and you should discuss the specifics of the procedure with your surgeon. In general, you will be allowed to walk on your foot in a stiff-soled shoe, also known as a post-op shoe, though you may be asked to put all your weight on your heel if an incision was made on the bottom of your foot. We try to minimise the time between the preliminary examination and the surgery for our international patients to avoid additional travel. . The outcome may depend on the location of the neuroma, and on which web space is affected. Do you find you have any lingering scar tissue / stiffness in that area of your foot? 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. Hi jwood. This information is provided as an educational service and is not intended to serve as medical advice. 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 hope it will help anyone else considering surgery for this not uncommon foot complaint. Recovery from decompression surgery is generally quite quick and you should be able to weight bear on the affected foot and wear padded shoes immediately after surgery. Podiatrists providing Foot Surgery services to Richardson, Dallas and Garland, TX. However, its more common between the 3rd and 4th toe. I went off pain meds day 3. Your surgeon will continue the incision deeper between the metatarsals (the bones behind the toes) to locate the neuroma. Tight, narrow shoes also aggravate this condition by compressing the toe bones and pinching the nerve. Hey Jason Halladay. At night I massage the incision very lightly using an ointment with comfrey and St. Johns Wort. Recurrences are considerably more likely after amputating the nerve (neurectomy), as this does not remedy the underlying deformity of the arch. What happens if Morton's neuroma goes untreated? It could be the result of an incorrect diagnosis, leading to a failed surgery, or it is a result of the neuroma stump formation. 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. The non-conservative options such as surgery are meant to remove the damaged nerve . Quote Reply. My doctor is a foot and ankle orthopedist at a sports clinic. Morton's neuroma is not actually a tumor, but a thickening of the tissue that surrounds the digital nerve leading to the toes. Nerve recovery is along and I suspect many of the horror stories are from people who expect full recovery at 4 months. Plantar (underside) and dorsal (topside) views of the foot showing a Morton's neuroma (circled) in the third web space. 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. This will prevent dangerous blood clots from forming. But then theres this nagging question about Mortons Neuroma surgery recovery time. Stick these in the freezer and wear them when you have your foot elevated. HELP! Most patients have swelling of the foot for a few weeks after surgery. joint-surgeon, The foot viewed from the sole: In this case, Morton's neuroma is located between the 2nd and 3rd toe. Hi everyone. The wound may be closed with an absorbable suture or with stitches, and the foot is wrapped in a compressive dressing. There is good news for those who had undesirable results with Mortons Neuroma surgery. Another shoe company, Topo, makes wider toebox shoes similar to Altra but they aren't zero drop (better for some people like me.) If they dont help, you can have your neuroma removed. Initial management of a Mortons neuroma typically involves one or more of the following: Studies have shown that many people can achieve lasting relief with a combination of shoe wear modifications, orthoses, anti-inflammatory medications (e.g., ibuprofen or naproxen), and/or corticosteroid injections. The stitches are removed within two weeks of the surgery, and most patients can walk without crutches or other assistive devices directly after the procedure. forearm crutches). She says her pain is worse post-operation than it was before, and she now regrets having surgery. Yes, I'm an RN and a horrible patient! Altra shoes don't work for me because they're zero drop and that beats up my achilles and posterior tibial tendons. Feb 19, 2016. So if you are dealing with an odd sensation or pain underneath one of your toes, talk to a foot specialist to see if Morton's neuroma could be the cause, along with the best way to treat your individual case. 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