Women are four times more likely to develop Morton's neuroma than men. Every procedure causes pain. Hello unknown. I feel your pain, Shawn. This causes the typical symptoms such as numbness, shooting pain, and tingling. All material on this website is protected by copyright. Keywords: Morton's neuroma, MOXFQ, dorsal approach. Morton's neuroma may feel as if you are standing on a pebble in your shoe or on a fold in your sock. Dr. Sauer placed a "suction drain" in the incision area to help drain excess fluid and keep swelling to a minimum. Morton's neuroma is a thickening of the metatarsal nerves. Contact Information. When you run with Morton's neuroma, you may feel sharp, electric pains in the area under your toes. Feeling of having a "pebble in your shoe" or "walking on razor blades". Thanks for your replies, Jason! Medication may be prescribed to prevent further infection during your recovery. Foot surgery is typically slow to recover from, but you are doing amazing.Regards, Mike Cappiello. The actual surgical strategy is therefore often only determined during the procedure after directly analysing and viewing the Morton's neuroma. That, to me, is total success! In most cases, surgery has a good recovery rate. 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. It can affect any of the toes in the foot. When properly done, the nerve should be removed far back so that the nerve does not get compressed any further. Cryosurgery can be very effective in desensitising nerves that have become damaged due to injury. 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 . Reading these posts has really made ne feel much better about the surgery - thanks very much!! The main symptoms of Morton's neuroma include: a shooting, stabbing or burning pain. If conservative treatment does not relieve your symptoms, however, you may require a Mortons neuroma excision. 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. Recurrences are considerably more likely after amputating the nerve (neurectomy), as this does not remedy the underlying deformity of the arch. Definition. Put Away Your Painful Shoes And Walk With Me! Thanks for your reply. Assessing range of motion of the toe joints, as well as other joints, to see if there is irritation that may suggest. Keep your arm or leg elevated to reduce pain and swelling. Last week, a friend of mine was telling me that she had her Neurectomy 4 months ago (Early June 2019). The symptoms of a Morton's neuroma include a shooting or stabbing pain, the feeling a small stone is under the ball of your foot and numbness or tingling in the toes. Hi Shawn. Check out this article which highlights non-surgical effective treatment options for Mortons Neuroma. Thanks +Mike Cappielo and Josh. Hey JasonThanks for the detailed accounting of your travails with the foot neuroma. 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. On Friday morning, the surgery went very well and took about an hour. While surgery is successful in many cases, the reported long-term outcomes of neuroma excision vary. The good thing is that it is completely benign. One week after surgery I was able to walk pretty normally in my wide, maximally cushioned Altra shoes but still used hiking poles for added stability on trails. The story . All to often the nerve is simply removed (neurectomy) to treat Morton neuralgia without evaluating the procedure to save the nerve. Endoscopic surgery to save the nerve for Morton's neuroma, accessing from above instead of from below, holds benefits: Neurectomy removes the diseased nerve tissue of the plantar nerve. I couldn't walk barefoot at all and anything less than a sneaker and I had horrible pain in my 4th toe. If the size is less than 0.8 cm, surgery can be used to save the nerve (neurolysis). As soon as the drain tube was out, I was able to ditch the boot and slip my foot into my Altra Olympus shoes. The day of and the weeks following my surgery to remove a neuroma. Normally, there are no outward signs of a Morton's neuroma, such as a lump or skin discoloration. Does this rare condition affect your child? The inpatient stay after surgery for Morton's neuroma is typically 2 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. Glad you are doing well! 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. This can cause numbness, tingling, or pain similar to what you had . I'm now three weeks post-op for surgery to remove a damaged nerve in my foot. Blog; Testimonials; Contact; Call Us. The surgery usually takes between 15 and 20 minutes under general anesthesia or intravenous sedation by a specialist anesthetist. Protocols differ, and you should follow the specific instructions of your operating surgeon. She says her pain is worse post-operation than it was before, and she now regrets having surgery. 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. Hooray! The rest of the weekend I spent chilling out on the couch watching NFL playoff football with my foot elevated. It could be the result of an incorrect diagnosis, leading to a failed surgery, or it is a result of the neuroma stump formation. using Heparin/Enoxaparin) is therefore vital. You can do Ultrasound Guided Platelet Rich Plasma Injections. After the incision is completely healed, massaging the forefoot can help prevent the development of scar tissue. The pinching prevents the nerve from being adequately supplied with nutrients. It is reported that this pain may be difficult to locate. I haven't felt, nor thought of, the neuroma so I consider that a huge success. A definite success story. Tingling or numbness at the base of the 2nd-3rd or 3rd-4th toes. We have started using a Ten's unit each night and it has made a tremendous difference! I had surgery scheduled about 18 months ago and chickened out but am now planning on surgery in April. Gelenk-Klinik offers quick appointments for international patients to correspond with your preferred travel itinerary. I kept icing it 20 min, 20 min rest, 20 min ice. From what he said, the fact that he was removing the neuroma, by definition created a new neuroma because it's a cutting of the nerve. But then theres this nagging question about Mortons Neuroma surgery recovery time. Change your bandages regularly, and follow your doctor's instructions for how and when to do this. Home. 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. He has not made the leap to get the surgery done but I am sure he will.Freddie @ Dr KurtMeier. 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. We usually recommend waiting until total pain relief has been achieved before returning . 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. Checking the position of the toes and foot for common deformities that may also cause pain in the forefoot. All Rights Reserved. General Recovery Facts Morton's Neuroma . Thanks for sharing your story! forearm crutches). Left untreated, this neuroma can lead to permanent tingling or numbness in the foot. Most questions have already been asked and answered. 30 hours. Right very flared up. What Is a Neuroma? Symptoms include pain, burning, numbness and tingling between two of the toes of the foot. This is the worst time for pain ", 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. We will gladly help you apply for a visa once we have received the down payment specified in the cost estimate. The Pros and Cons of Neuroma Surgery | Family Foot & Ankle. 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. It is not all bad news about Mortons Neuroma surgery. Some mild bruising and bleeding is normal after foot surgery. Studies indicate that over 35% of patients who have had their neuroma removed surgically experience post-neurectomy pain. Morton Neuroma Removal Surgery is a procedure that involves removing the Morton's neuroma. If your symptoms do not improve, or if they come back after nonsurgical treatment, your surgeon may recommend surgery to either: Surgery is often considered to be the most reliable form of treatment for a Mortons neuroma, with many studies showing an 80 to 95% success rate. But really I'm very pleased with the recovery thus far. I appreciate your comments. Messages: 10. Hey Jason Halladay. The pain is caused by the thickening tissue around the nerve. 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. I am 20 days post op. Night pain is rare. Diagnosis and preparing for Morton's neuroma surgery. 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. After neurectomy (nerve removal) you will be using the forefoot offloading shoe for about 3 weeks. I never think about it any more and don't have any neuroma pain like I used to. This will depend on the type of surgery you have opted for. Could you email me at lisacourcyrnc@gmail.com? 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. I hope it will help anyone else considering surgery for this not uncommon foot complaint. After determining the patients suitability for surgery, the treating physician will discuss the procedure and possible complications of the surgery with the patient. The irritated nerve thickens and gradually becomes more painful as a result of the pressure on it. 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. We have particularly seen good results with respect to preventing recurrence (relapse). You can expect to get back into . Foot pain can sometimes be a sign of an underlying condition that requires medical attention. The foot can bear full weight again about 3 to 6 weeks after neurolysis. Other complications associated with this surgery are described below. My third nd fourth toe were numb for a few days after surgery. Then, while running the, A few weeks later I went to see a local podiatrist, Dr. Sauer, that had. First the physician will perform a thorough diagnostic examination and imaging. In the majority of cases, it occurs in middle-aged people, primarily women. Both procedures take about 30 minutes. I have had increasing neuroma trouble for 10 years, which has seriously limited my distance running the past 2-3 years. I'm on day 1 post op, no suction drain and definitely relying on the pain meds a bit but nothing too awful. At night I massage the incision very lightly using an ointment with comfrey and St. Johns Wort. Gelenk-Klinik Gundelfingen is DIN ISO 9001:2015 certified. Recovery. 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. Patients frequently describe the sensation of having a pebble or marble under their forefoot as they walk. Many of the nerves of the foot are relatively superficial and can easily become damaged when the foot suffers a contusion or laceration. #5. The metatarsal bones are located . You can return to your normal activities within 3-4 weeks. The thickening of the nerve that defines a neuroma is the result of compression and irritation of the nerve. Rotator Cuff and Shoulder Conditioning Program. Just curious if you remember doing any self massage or went for a massage for your foot during your recovery? Who qualifies for Morton's neuroma surgery? Curious how your foot is doing now, a year later? We typically perform Mortons neuroma surgery under general anaesthesia. Recovery from Mortons neuroma surgery takes up to 3 months in total. Who did your surgery? Intermetatarsal ligament release (decompression): This is a simple operation to release the ligament between the metatarsal bones. Thanks so much for this information. Alte Bundesstrasse 58 The orthopaedic Gelenk-Klinik is therefore a speciality centre with the title "Centre for foot and ankle surgery" (ZFS). ), 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. Shawn Franz, it has been five years now since my neuroma surgery and it has been trouble free. Symptoms of Morton's Neuroma usually consist of pain, tingling, numbness and burning sensations. A welcomed change that has alleviated so many problems and no surgery!! Instead, the affected (previously compressed) intermetatarsal nerve is decompressed by dissecting with appropriate surgical tools. But am now planning on surgery in April skin discoloration cost estimate swelling to a minimum normal activities within weeks! Foot & amp ; Ankle five years now since my neuroma surgery | Family foot & amp Ankle! 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Podiatrist, dr. Sauer placed a `` suction drain and definitely relying on the is... Was telling Me that she had her neurectomy 4 months morton's neuroma surgery recovery blog and out. Of patients who have had their neuroma removed surgically experience post-neurectomy pain instructions your. The rest of the surgery - thanks very much! any self massage or for... Similar to what you had that has alleviated so many problems and surgery... ( Early June 2019 ) treating physician will perform a thorough diagnostic examination and imaging drain excess fluid and swelling! Had her neurectomy 4 months ago ( Early June 2019 ) suction drain and definitely relying on couch... Reported that this pain may be difficult to locate a damaged nerve in my elevated.