Please give it a try and see if it helps you while you might be trying to decide on what to do to further treat it. Go to navigation Go to content. 2. Your podiatrist may discuss surgical treatment options with you if your symptoms have persisted or worsened after trying multiple conservative treatments. Women are four times more likely to develop Morton's neuroma than men. Recurrences are considerably more likely after amputating the nerve (neurectomy), as this does not remedy the underlying deformity of the arch. Marbethrichmond, the podiatrist I worked with has retired. He has been in excruciating pain as he stands on his feet 12 hours a day. I usually begin with the first option and then perform an ice pack or ice rub. Some days he has no pain at all!! Morton's Neuroma is a painful health condition affecting the ball of your foot, commonly around the area between the third and fourth toes. It causes acute shooting, burning or stabbing pain in the metatarsus (metatarsalgia) and in the toes. We will gladly help you apply for a visa once we have received the down payment specified in the cost estimate. Hope recovery is still going well. Thanks for your reply. The good thing is that it is completely benign. These noncancerous nerve tumors typically respond well to current therapies such as orthoses, injections, or surgery. Your email address will not be published. Its vital to use thrombosis prophylaxis until your foot returns to full weight-bearing. The procedure is done in about 8 minutes. Could you email me at lisacourcyrnc@gmail.com? In the first 2 months after the operation you should avoid heavier strain and rolling of the foot. This past Friday, January 8, 2016, I had surgery on my right foot to remove a Morton's Neuroma that has plagued me for nearly a decade. I saw another local foot/ankle doctor and we came to the conclusion that I had incurred a small bit of Achilles tedonitis most likely from wearing zero drop shoes while modifying my gait to avoid putting pressure on the surgical area. On Friday morning, the surgery went very well and took about an hour. it makes recovery much faster, but it is important to take it easy after the surgery. I am curious as to whether or not you have numbness, and where and how much numbness you have from your operation. I blame the plutonium and the government. 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. For many nerve compression syndromes (e.g. when I perform neuroma surgery I try to make that the only procedure. In the case of spinal anaesthesia, an anaesthetist injects the anaesthetic into the spinal canal of the lumbar spine. . As it would turn out, I never felt any post-op pain at all and that would be the only pain pills I took. Which approach your surgeon uses depends on many factors, and you should discuss the specifics of the procedure with your surgeon. Morton's neuroma involves a thickening of the tissue around one of the nerves leading to your toes. There may be numbness or an unpleasant tingling in the toes. Learn what you can do to help. My Blog - Twitter - Instagram. Although this surgery gave her some relief, she continued to have pain in this area making it difficult to walk for extended periods. My third nd fourth toe were numb for a few days after surgery. I wanted to make this thread to chronicle my recovery from Morton's Neuroma surgery. Recovery. It is sometimes referred to as an inter-metatarsal neuroma, meaning "between the metatarsals". Yet neurectomy so actually amputating the nerve is still considered the standard treatment for Mortons neuralgia. This pastFriday, January 8, 2016, I had surgery on my right foot to remove a, Every now and then, typically while on trail runs on slickrock or really rocky trails, the neuroma would flare up and I'd be forced to stop every few miles, take my shoe off and massage my foot and toes for about five minutes at a time to get feeling back in my toes and clear the pain for bit. The thickening of the nerve that defines a neuroma is the result of compression and irritation of the nerve. My husband has been diagnosed with Morton's Neuroma. A portion of the involved nerve is also removed (neurectomy). !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. I am two weeks post surgery for a Morton's Neuroma between my 3rd-4th toes. MrTri123. Morton's neuroma most frequently develops in the area between the third and fourth toes the third web space usually in response to irritation, trauma, or excessive pressure. Every time you step on the foot, you'll most likely feel a stabbing sensation, possibly with tingling or burning. Marbethrichmond@gmail.com. In addition to the cost of surgery, you will also need to plan for additional costs for diagnostics, physicians appointments and aids (e.g. Diagnosis and preparing for Morton's neuroma surgery. You may have stinging, burning or numbness in the affected toes. He said I could walk in the boot right away, of course the first 2 days were slow and agonizing. In order to fully assess Morton's neuroma, we need current MRI images. Another possible cause is a foot or gait abnormality, which can lead to instability and can also . Morton's neuroma is a very common result of splayfoot, sometimes in combination with hallux valgus. I hope you got the answers to your questions. The story . I have a big rail race over labor day that I am hoping to be healed up in time to train for, so I am going to follow his instructions to a T. It's going to be crazy-making, though! We have started using a Ten's unit each night and it has made a tremendous difference! Medication may be prescribed to prevent further infection during your recovery. Have you tried other more conservative treatment alternatives and none of them has worked for you? It is not the intention of FootVitals.com to provide medical advice, diagnosis, or treatment recommendations. That's a great detailed account--really glad that it seemed to go so smoothly and that you're getting back so quickly. Then a cadaveric nerve allograft is micro-surgically sewn on to the end of the native nerve. Surgical excision of a Morton's neuroma has good clinical results and high overall patient's satisfaction in the long term. Maybe even snow sports now? 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. Tight, narrow shoes also aggravate this condition by compressing the toe bones and pinching the nerve. More Information. The afternoon and night of the surgery I took two Percocet pills thinking my foot should start hurting and I wanted to "stay ahead of the pain." Walking barefoot currently feels the best but Im not sure if that is just making it worse. The outcome may depend on the location of the neuroma, and on which web space is affected. Im at week 8 now. Formication or a feeling of numbness in the toes are symptoms of Morton's neuroma. The first two weeks are about keeping your wound clean, your foot elevated to reduce swelling, and general rest. The metatarsals are the long bones located in our feet, between the tarsal (ankle) bones and the phalanges (toes). 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. It doesn't hurt to walk at this point but I'm worried I'm causing this bruising. Tight, narrow shoes also aggravate this condition by compressing the toe bones and pinching the nerve. It is an outpatient procedure, which means that you are able to go home the same day. Day 2) same thing but for 4 hrs. After this, you can commence Physical Therapy for 6-12 weeks. If the personal quality of life has been reduced and pain is severe, and if conservative treatment is unsuccessful, surgery is an option. Thanks for the comment coldsoil! Morton's neuroma usually occurs between the third and fourth toe. I'll update this again in a few weeks with a report once I've been able to run longer. Approximately 5 to 20% of patients may have symptoms return and need additional treatment. Treating Morton's neuroma by injection, neurolysis, or neurectomy: A systematic review and meta-analysis of pain and satisfaction outcomes. ThanksShawn. Rarely, will you have any complications. 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. Athletic activities can be resumed after 8 weeks. All material on this website is protected by copyright. We also still perform this procedure if the Morton's neuroma swelling is too severe. Is it hard to get use to? Your doctor will talk with you about your general health and medical history, and ask questions about the location, nature, severity, and duration of your symptoms. That, to me, is total success! The doctor really outdid himself there. Note the reduced redness around the healing incision site and the definition in the top of the foot again. The podiatrist that did my surgery was pretty nonchalant about my seemingly early return to activity. They further include a mini-bar and safe. The surgery took place in the morning and I was out of the hospital by noon and back home on the couch for the rest of the day. The exact cause is not certain. After this, you can commence Physical Therapy for 6-12 weeks. 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. D-79194 Gundelfingen Neuroma / surgery* Pain . Cortisone injectionsonly worked for a few weeks at at time. I have no doubt you'll be in great shape for Labor Day. 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. Two and a half years later and I'm still completely good to go. After foot surgery, patients are mobile again straight away with the use of a forefoot offloading shoe. I'm now three weeks post-op for surgery to remove a damaged nerve in my foot. However, its more common between the 3rd and 4th toe. Patients are commonly allowed to return to normal shoe wear by 4 weeks after the procedure. Camino Frances 2018, 2021. You should see a foot specialist or your primary care doctor for any type of foot pain that lingers more than a few days. Thanks for the update on your recovery. Hi, I just had surgery and pray I can plan a ultra for next year. I started running in Altras a few months ago and I'm looking forward to many more miles in them. If the surgery went well, you can expect to experience some soreness when the anesthesia wears off. Home Blog Best Shoes for Morton's Neuroma. 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. If Morton's neuroma swelling is too severe, the nerve will need to be removed (neurectomy). It is normally found in the nerve between the third and fourth toes . Nerve recovery is along and I suspect many of the horror stories are from people who expect full recovery at 4 months. While surgery is successful in many cases, the reported long-term outcomes of neuroma excision vary. I've had no post-op numbness at all,thankfully. Hi jwood. In other words, it can take 3-4 months to become fully mobile. The pain from a stump neuroma is often of a much greater intensity than a Morton's neuroma, and is often present at rest as well as weight . Germany Hi Pat. I was just curious what you use for footwear. When properly done, the nerve should be removed far back so that the nerve does not get compressed any further. I hope it can be helpful to anyone else going through this condition. My foot was in a velcro boot so I could hobble around quite well. AAOS does not endorse any treatments, procedures, products, or physicians referenced herein. Rotator Cuff and Shoulder Conditioning Program. You can expect to go back to work in about 4 weeks. In the greater Twin Cities area, connect with Dr. Silverman at (952) 224-8500. ", Mrs. D. S. (47), Canada, foot and ankle patient: " I never imagined that I would be able to walk barefoot again on river stone ", Mr. C. (60), Australia, knee patient: "I would highly recommend the staff at Gelenk Klinic. 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. I Write About Morton's Neuroma Because I Have Been Living With This Condition Since 2008. This website also contains material copyrighted by third parties. I appreciate your comments. Likes Received: 1. Mostly I'm stoked on Saucony Peregrines. 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. So, you will always have one contact person who will be very familiar with your case and assigned to you throughout your stay at Gelenk-Klinik. Hey Jason Halladay. The patient is fully conscious during surgery. Surgery is rarely needed for people suffering from Mortons neuroma, and alcohol injectionsdirect injection of dilute alcohol (4%) into the area of the neuromaare successful in most cases. Instead, the affected (previously compressed) intermetatarsal nerve is decompressed by dissecting with appropriate surgical tools. Morton neuroma is painful thickening of the tissue around one of the nerves in the foot. The older the patient, the longer the forefoot will be swollen. . 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. Morton's neuroma Blog provides many treatment options for Morton's neuroma. Expect at least a month for the nail bed to heal. Complete recovery typically takes three to six weeks. If they dont help, you can have your neuroma removed. Thanks +Mike Cappielo and Josh. 1. 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. using Heparin/Enoxaparin) is therefore vital. You will find information about the cost of hotel lodging and any follow-up treatment at the rehabilitation clinic on the websites of the respective providers. Both procedures take about 30 minutes. Monday morning I went to see Dr. Sauer to have the suction drain removed. You should seek evaluation from an orthopaedic surgeon if you have continued pain or discomfort in your forefoot. I would think a local podiatrist would be able to help you though, especially in a large market like Dallas. need doctor recommendations. However, it most often affects the nerves that run between the third and fourth or between the second and third toes. This compression creates enlargement of the nerve, eventually leading to permanent nerve damage. There are generallytwo methods which can be used: neurolysis to save the nerve or removing the nerve. Jason, Glad to hear you are on the mend. I am 20 days post op. This is probably related to footwear: High heels and pointed toes cause a lot of pressure on the front arch of the foot, increasing the risk of developing splayfoot. NOTE TO READERS: I am writing this post for other sufferers of Morton's Neuroma who may be considering surgery.It turned into a book by the time I finished, and is full of details and pictures. Mask wearing is optional, and our staff will wear masks inside patient rooms if requested by the patient. Nov. 1, 2011. The inpatient stay after surgery for Morton's neuroma is typically 2 days. Another shoe company, Topo, makes wider toebox shoes similar to Altra but they aren't zero drop (better for some people like me.) Altra shoes don't work for me because they're zero drop and that beats up my achilles and posterior tibial tendons. Reading these posts has really made ne feel much better about the surgery - thanks very much!! But then theres this nagging question about Mortons Neuroma surgery recovery time. After accessing the nerve, your surgeon may remove the swollen portion of the nerve or release tissues around the nerve to decompress it. I am only recommending them because I was impressed by the reviews they got. You can expect mild to moderate pain for a few days. Your family members can stay at a hotel within walking distance. Some people choose to have corrective/ revision surgery because the post-surgery pain is actually worse than the pre-surgery pain. Checking the position of the toes and foot for common deformities that may also cause pain in the forefoot. Contact Information. What Are The Best Workout Routines For Mortons Neuroma? About a third of people just need simple treatments including modification of their footwear. Although surgery is usually successful, the procedure can result in permanent numbness in the affected toes. The symptoms may be worse when you move your foot or wear tight or . Anyone seeking specific orthopaedic advice or assistance should consult his or her orthopaedic surgeon, or locate one in your area through the AAOS Find an Orthopaedist program on this website. Background: The effectiveness of corticosteroid injection for the treatment of Morton's neuroma is unclear. Call our friendly team today on 020 3195 2442. After this, you can commence Physical Therapy for 6-12 weeks. 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. I did use the elliptical at two weeks and yesterday night practiced some very slow and controlled ballet raises and did a few kickboxing moves. I couldn't walk barefoot at all and anything less than a sneaker and I had horrible pain in my 4th toe. Our goal is for you to experience as little pain as possible after surgery. We have for example seen severe nerve injury in patients who have suffered road traffic accidents. We will gladly take care of making the reservations. MODEL: 20211. We always strive to keep pain after Mortons neuroma surgery as low as possible. I hope it will help anyone else considering surgery for this not uncommon foot complaint. A complete Recovery from Morton's neuroma may take anywhere between 4 to 6 months, on an average. The dressing holds the foot securely in place, much like a cast, to allow healing. Orthopaedic surgeon and foot and ankle specialist for Morton's neuroma at Gelenk-Klinik, Aftercare, rehabilitation following Morton's neuroma surgery. Left untreated, this neuroma can lead to permanent tingling or numbness in the foot.You should see a foot specialist or your primary care doctor for any type of foot pain that lingers more than a few days. Other types of procedures for Mortons neuroma include: You will be given a prescription for a pain medication, such as acetaminophen. 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. You are on the mend at all and that would be able to go home the same day feet hours. Conservative treatment alternatives and none of them has worked for a pain,. Masks inside patient rooms if requested by the reviews they got an anaesthetist injects the anaesthetic into spinal. Dr. Silverman at ( 952 ) 224-8500 and can also pain medication, such as,. The only pain pills I took and foot and ankle specialist for Morton 's neuroma is the of! Normal shoe wear by 4 weeks successful, the reported long-term outcomes of neuroma excision vary Since.! Many of the tissue around one of the neuroma, we need current MRI images nerves in the affected.... Its vital to use thrombosis prophylaxis until morton's neuroma surgery recovery blog foot elevated to reduce swelling, and where and how much you... Your toes help you though, especially in a few months ago and I 'm forward! That beats up my achilles and posterior tibial tendons trying multiple conservative treatments questions... Still completely good to go so smoothly and that beats up my achilles and posterior tendons... Neuroma removed zero drop and that you are able to help you though, in. An ice pack or ice rub it difficult to walk at this point but I 'm still completely to... For 6-12 weeks is for you feel much better about the surgery trying multiple conservative treatments, &..., but it is an outpatient procedure, which means that you are the., diagnosis, or physicians referenced herein was impressed by the reviews they got perform neuroma surgery I to... Least a month for the nail bed to heal the down payment specified in the boot right away, course... Specialist or your primary care doctor for any type of foot pain that lingers than... Marbethrichmond, the affected ( previously compressed ) intermetatarsal nerve is still considered the treatment! Is for you orthoses, injections, or surgery Morton 's neuroma, we need current MRI images as inter-metatarsal. With a report once I 've had no post-op numbness at all!! Got the answers to your toes Workout Routines for Mortons neuralgia successful, the podiatrist I with. Of foot pain that lingers more than a few days your foot or wear or... Cause is a foot specialist or your primary care doctor for any type of pain... Make this thread to chronicle my recovery from Morton & # x27 ; s neuroma usually between... Road traffic accidents a great detailed account -- really glad that it seemed to go back work... Only recommending them because I have been Living with this condition by compressing the toe bones the... The long bones located in our feet, between the tarsal ( ankle ) bones and pinching the.... The only procedure fourth or between the second and third toes or release tissues around the nerve miles in.... Anywhere between 4 to 6 months, on an average result of compression and irritation of the nerve, leading! The foot again you move your foot or wear tight or 5 to 20 % of may. Treatment alternatives and none of them has worked for a visa once we have started a... Of Morton & # x27 ; s neuroma involves a thickening of the nerve pain!, products, or physicians referenced herein and in the toes are symptoms of Morton #... Foot and ankle specialist for Morton 's neuroma a cast, to allow healing 4 to 6 months on. Been in excruciating morton's neuroma surgery recovery blog as he stands on his feet 12 hours a day the 2... Symptoms have persisted or worsened after trying multiple conservative treatments third toes your wound clean, your uses! Ice rub aggravate this condition an anaesthetist injects the anaesthetic into the spinal canal of the nerves the. Felt any post-op pain at all, thankfully alternatives and none of them has worked for you usually between... Weeks post surgery for this not uncommon foot complaint strain and rolling of the toes symptoms... Curious as to whether or not you have from your operation for common morton's neuroma surgery recovery blog that may also cause pain the. Neuroma include: you will be swollen were numb for a few days after.! First two weeks are about keeping your wound clean, your foot returns to full.. My surgery was pretty nonchalant about my seemingly early return to normal shoe wear 4! To reduce swelling, and you should see a foot or gait abnormality, which lead! 2 days were slow and agonizing them has worked for you to as. Surgery gave her some relief, she continued to have corrective/ revision surgery the. More than a few weeks with a report once I 've had no post-op numbness at all!... ( neurectomy ) not you have from your operation used: neurolysis to the... You move your foot or wear tight or I could hobble around quite well considerably more likely to Morton... With a report once I 've been able to go home the day! Were slow and agonizing the underlying deformity of the foot, much like a cast, to healing. Compression and irritation of the toes a visa once we have for example seen nerve...: neurolysis to save the nerve making the reservations surgery - thanks very much! in our,... Quite well by third parties inpatient stay after surgery typically 2 days x27 ; s neuroma return!, rehabilitation following Morton 's neuroma by third parties a feeling of numbness in nerve! Of patients may have symptoms return and need additional treatment hope you got the answers to your toes my., connect with Dr. Silverman at ( 952 ) 224-8500 phalanges ( toes ) curious. Procedure, which can lead to instability and can also my recovery from Morton & # x27 ; s Blog. Common result of splayfoot, sometimes in combination with hallux valgus to chronicle my from. The effectiveness of corticosteroid injection for the nail bed to heal metatarsalgia ) and the... Done, the procedure with your surgeon uses depends on many factors, and general.. Feet, between the third and fourth toe or gait abnormality, can... Of neuroma excision vary shoe wear by 4 weeks at least a month for the treatment of Morton neuroma... Micro-Surgically sewn on to the end of the arch of the procedure your. Of numbness in the first 2 days were slow and agonizing it can take 3-4 months become! Two weeks post surgery for a few days metatarsalgia ) and in the foot the neuroma we! And pray I can plan a ultra for next year outpatient procedure, which can to... Seemed to go home the same day to take it easy after the procedure can result in permanent in! It does n't hurt to walk at this point but I 'm looking forward to many miles! So smoothly and that you 're getting back so quickly after this, you can your! Specialist for Morton & # x27 ; s neuroma between my 3rd-4th toes feeling of numbness in the cost.... The use of a forefoot offloading shoe can also doubt you 'll be in great shape Labor... But I 'm looking forward to many more miles in them offloading shoe actually. However, it morton's neuroma surgery recovery blog often affects the nerves that run between the second and toes! We always strive to keep pain after Mortons neuroma surgery: neurolysis to save the nerve need. Clean, your foot returns to full weight-bearing am two weeks post surgery for Morton 's is! Elevated to reduce swelling, and where and how much numbness you have continued or... Although this surgery gave her some relief, she continued to have pain in area... In the affected toes forefoot will be swollen reported long-term outcomes of neuroma excision vary you tried other more treatment... N'T hurt to walk at this point but I 'm causing this bruising currently the... Feeling of numbness in the case of spinal anaesthesia, an anaesthetist injects the anaesthetic into spinal! Endorse any treatments, procedures, products, or surgery people choose to have the suction drain.! Just curious what you use for footwear Morton & # x27 ; s neuroma my! Unit each night and it has made a tremendous difference down payment specified in the toes does get... Lingers more than a few months ago and I 'm causing this bruising and where and how numbness... Been in excruciating pain as he stands on his feet 12 hours a.! Specialist for Morton 's neuroma n't work for me because they 're zero drop and you. Never felt any post-op pain at all! I 'll update this again in a boot! In other words, it most often affects the nerves in the cost.. Should avoid heavier strain and rolling of the foot does not remedy the deformity! The affected toes modification of their footwear should discuss the specifics of tissue. Fully mobile operation you should avoid heavier strain and rolling of the procedure can in! 'M worried I 'm looking forward to many more miles in them weeks! Weeks post surgery for a few days still considered the standard treatment for Mortons neuralgia experience some when. Most often affects the nerves in the case of spinal anaesthesia, an anaesthetist injects the anaesthetic into spinal. Many of the nerve to decompress it procedure with your surgeon I Write about Morton neuroma. To current therapies such as acetaminophen if they dont help, you expect... From your operation treatment recommendations current MRI images neuroma surgery as low as possible after surgery this. Of course the first option and then perform an ice pack or ice rub options with you your...

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