However, it most often affects the nerves that run between the third and fourth or between the second and third toes. Best Overall: NAOT Footwear Galaxy Shoe (From $164.95, Amazon) Best on a Budget: Women's Malina Comfort Sneaker ($62.30, Macys) Best for Walking: Brooks Addiction Walker Walking Shoes (From $45, Amazon) Best for Running: ASICS Gel-Cumulus 22 Running Shoes (From $69.95, Amazon) Required fields are marked *. Surgery to correct a Mortons neuroma can be done in your podiatrists office with local anesthesia or with IV sedation and local anesthesia. There is good news for those who had undesirable results with Mortons Neuroma surgery. While Mortons Neuroma surgery may appear like the best way to get rid of the pain once and for all, you need to weigh your options very carefully. In fact, I think climbing is good therapy because the weight is mostly on my big toe and each step is very calculated. 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. 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. It was bad enough I couldn't walk stairs normally at all and had to limp around everywhere. The heel will bear the entire bodyweight. Thats understandable because having surgery means you will have to be on downtime for some time. I guess recent studies show that if not fully healed, impact of the surgical area can cause injury and the stump. Could you email me at lisacourcyrnc@gmail.com? Hi everyone. The neuroma is dissected free of the nerve to which it is attached and excised. Protocols differ, and you should follow the specific instructions of your operating surgeon. A complete Recovery from Morton's neuroma may take anywhere between 4 to 6 months, on an average. I think the two bits of advice I'd like to pass on to anyone else undergoing surgery for Mortons Neuroma are: 1. 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. Give yourself time to recover from the surgery. I've run the past three days in a row and it's been pain free. Treating Morton's neuroma by injection, neurolysis, or neurectomy: A systematic review and meta-analysis of pain and satisfaction outcomes. Wow, you jumped right in shortly after your surgery ehh? To book an appointment at Metroplex Foot and Ankle LLP, call us at 214-217-3668. . Cold therapy socks - these are socks containing 3 ice packs at the ball, heel and ankle. He has not made the leap to get the surgery done but I am sure he will.Freddie @ Dr KurtMeier. I'm on day 1 post op, no suction drain and definitely relying on the pain meds a bit but nothing too awful. This is called decompression. 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. However, its more common between the 3rd and 4th toe. May 9, 19 5:51 Post #9 of 14 (3994 views . If Morton's neuroma swelling is too severe, the nerve will need to be removed (neurectomy). It is reported that this pain may be difficult to locate. Burning pain in the ball of your foot that shoots into the toes. I saw an orthopedic doc and he immediately suggested surgery. The wide forefoot and maximum cushion of the Altra shoes worked well for my beat up foot. 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). Morton's Neuroma Surgery. Can't find doctor i trust. You can expect to go back to work in about 4 weeks. :-). As soon as the drain tube was out, I was able to ditch the boot and slip my foot into my Altra Olympus shoes. I Write About Morton's Neuroma Because I Have Been Living With This Condition Since 2008. . I know the Altras are good for running but what do you use on an everyday basis? . The doctor really outdid himself there. In case of any, it is recommended that you pursue other treatment alternatives. I did a short 3 mile run. Mostly I'm stoked on Saucony Peregrines. Morton's neuroma pain is a sign that the digital nerve is in distress. Metatarsal osteotomy: This surgery involves cutting the metatarsal bone of the big toe and realigning the bone. What Is The Natural Cure For Mortons Neuroma? I'm running the Cruel Jewel in May and plan on wearing those.Good luck with 2016! The underside of my foot still gets intense electric type feelings if I touch it but not when I walk, jump or run.The numbness is strange only if I touch the area between the toes. This thickening can lead to various levels of pain or discomfort in the forefoot that may limit your ability to perform certain activities. Wondering if you had a similar experience at all - is it just a matter of months for the rest of the swelling / healing process to take place? (70), United States, knee patient:"A five-star medical experience", Mr. L. H. (59), Sweden, knee patient: "This was topclass treatment. We will gladly help you apply for a visa once we have received the down payment specified in the cost estimate. On the eighth day I was able to stop dressing the stitches and drain incision with gauze because it finally healed up enough. The thickening of the nerve that defines a neuroma is the result of compression and irritation of the nerve. 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. using Heparin/Enoxaparin) is therefore vital. Last week, a friend of mine was telling me that she had her Neurectomy 4 months ago (Early June 2019). Thanks +Mike Cappielo and Josh. When someone clicks and buys through my Affiliate links I earn a little percentage of the income which enables me to maintain this website. I hope it can be helpful to anyone else going through this condition. 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. Plantar fasciitis surgery; Morton's neuroma surgery; Reconstructive surgery to fix problems with foot structure . Dr. Thomas Schneider, MD. Jason, Glad to hear you are on the mend. Recovery. 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. 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. If you sometimes feel that you are "walking on a marble," and you have persistent pain in the ball of your foot (forefoot), you may have a condition called Morton's neuroma. The dressing holds the foot securely in place, much like a cast, to allow healing. 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. This page was last updated on January 1st, 2016. I appreciate your comments. 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. You should also wear compression stockings until full weight bearing has been restored. Another possible cause is a foot or gait abnormality, which can lead to instability and can also . Home. Detailed video explaining steps of Morton's Neuroma Excision. 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 am using brand new gym shoes which I think is important to avoid introducing bacteria to the area. Other than some slight discomfort the first few steps out of bed in the morning, walking was quite comfortable with a slight "bruised" feeling in the ball of my foot when I walked. Morton's neuroma pain is a sign that the digital nerve is in distress. How To Treat Mortons Neuroma At Home (Tips From My Personal Experience), Right diagnosis and procedure but unfavorable outcomes severe pain than before surgery, excessive swelling, infection. What happens if Morton's neuroma goes untreated? Gelenk-Klinik offers quick appointments for international patients to correspond with your preferred travel itinerary. The story . !my doctor was a good podiatrists!!! On Friday morning, the surgery went very well and took about an hour. 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. Plantar (underside) and dorsal (topside) views of the foot showing a Morton's neuroma (circled) in the third web space. Day 2) same thing but for 4 hrs. Key findings. There may be some numbness in the toe. A neuroma is a thickening of nerve tissue that may develop in various parts of the body. Ease into walking but plan on crutches and no impact (jumping, running, leg press) for 2 months. The wound may be closed with an absorbable suture or with stitches, and the foot is wrapped in a compressive dressing. Patients are commonly allowed to return to normal shoe wear by 4 weeks after the procedure. Learn about the various types of orthotics used to help restore mobility. Live in dallas. Nerve compression is caused by mechanical pressure on the plantar nerve of the foot. If the personal quality of life has been reduced and pain is severe, and if conservative treatment is unsuccessful, surgery is an option. The physician then uses the results to determine the suitable surgical technique together with the patient. 30 hours. joint-surgeon, MVZ Gelenk-Klinik Dres Schneider, Ostermeier & Partner rzte-Partnerschaft. Re: My recovery from Morton's Neuroma Surgery [Nick2413] [ In reply to] Quote | Reply. The pain is caused by the thickening tissue around the nerve. Orthoticsincremental help. The assigned anaesthetist will already start pain management during the procedure. I am bruise free now. There are five metatarsals in all. However, we also offer spinal anaesthesia to avoid general anaesthesia if the patient so desires. Checking the position of the toes and foot for common deformities that may also cause pain in the forefoot. You will also be using a special shoe to offload the forefoot for 2 to 3 weeks. There are several surgical techniques to treat Morton's neuromas, and they have been shown to produce similar results. Thanks for the comment coldsoil! I also started taking baby steps barefoot once or twice a day. If they dont help, you can have your neuroma removed. All rooms include towels, a bath robe and slippers. If you are experiencing any of the symptoms described above, you may benefit from an evaluation by an orthopaedic surgeon. I had done a good bit of internet research about this surgery and the experiences of others. When properly done, the nerve should be removed far back so that the nerve does not get compressed any further. There are many cases of unsuccessful Mortons Neuroma surgery. Neuroma / surgery* Pain . 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. Do you have Mortons Neuroma and decided that you want to have it surgically removed? The most common complication of Mortons neuroma excision is numbness in the toes, which may be permanent and can cause problems with footwear. It is often used to treat bunions but may be used for intermetatarsal neuroma if the metatarsal is malpositioned or malformed. Glad you are doing well! Recovery from Mortons neuroma surgery takes up to 3 months in total. Is it hard to get use to? 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. She says her pain is worse post-operation than it was before, and she now regrets having surgery. The first two weeks are about keeping your wound clean, your foot elevated to reduce swelling, and general rest. 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. I hope your recovery goes great, coldsoil. The nerve becomes swollen because of the nerve trapping between the heads of the small bones. Neuromas bothfeet. Problems with shoe wear are common. 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 . It felt great to work up a sweat again! The purpose of this study was to compare the effectiveness between corticosteroid injection associated with local anesthetic and local anesthetic alone (placebo control group) for the treatment . Yet neurectomy so actually amputating the nerve is still considered the standard treatment for Mortons neuralgia. After surgery you will receive 24-hour care from experienced nursing staff and experienced physiotherapists. I went off pain meds day 3. I hope you find relief and if you go the surgery route, keep the incision area clean (unlike I did!) Find out what Morton's neuroma surgery involves, including recovery and long-term impact. 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. Protocols differ, and you should follow the specific instructions of your operating surgeon. Read & get updated from our experts for Morton's neuroma patients. Recovery is complete in 2 months in 50% of individuals, but may take up to a . 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. Contact. I had to stop running and it was affecting my every day life. At first, for many years, the neuroma discomfort was gradual and infrequent but as time went on, it got more painful at more frequent intervals. one of the complications that can occur post op is a hematoma. Site Map. I have been battling with one for 4 years and have tried numerous approaches ranging from most conservative to actual surgery 7 days ago. I started running in Altras a few months ago and I'm looking forward to many more miles in them. 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. That, to me, is total success! Nerve recovery is along and I suspect many of the horror stories are from people who expect full recovery at 4 months. Formication or a feeling of numbness in the toes are symptoms of Morton's neuroma. I'm having a similar experience. Should I expect pain after Morton's neuroma surgery? Morton's neuroma usually occurs between the third and fourth toe. Thanks for your reply. Limit your physical activities to those that place minimal pressure on your feet. That means taking a tactical break from regular running in favour of low-impact activities, like swimming. 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 . The Altra shoes are great with the wide forefoot/toebox that allows your toes to spread and not be cramped. The first two weeks are about keeping your wound clean, your foot elevated to reduce swelling, and general rest. How will my treatment be organized at Gelenk-Klinik? The infection sounds awful--hope you are doing better. I had surgery scheduled about 18 months ago and chickened out but am now planning on surgery in April. Does this rare condition affect your child? After that it was painful but not terrible- think a bad bruise. This can cause a sharp, burning pain in the ball of your foot. Patients who have cryogenic neuroablation are less likely to see symptoms return. But how long will it be? Give your foot the chance to mend, too. I feel your pain, Shawn. 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. All rooms also have a television. The Pros and Cons of Neuroma Surgery | Family Foot & Ankle. Best Shoes for Morton's Neuroma AUTHOR: Lisa Kay. Hope recovery is still going well. This allows the native nerve end to grow . If conservative treatment does not relieve your symptoms, however, you may require a Mortons neuroma excision. My Ortho Surgeon plan has me off of it for 2 weeks, elevated and iced. Nonetheless - glad you made ityou are definitively the "driven" type bro!Based on your feedback and some of the comments, I ordered a pair of Altras and am excited to give them a try! Online payment. Skip to content +44 (0) 20 7046 8000 . Rotator Cuff and Shoulder Conditioning Program. Surgical excision of a Morton's neuroma has good clinical results and high overall patient's satisfaction in the long term. Every procedure causes pain. The outcome may depend on the location of the neuroma, and on which web space is affected. Refer a patient. Tabor- Charcoal. The Best Shoes for Morton's Neuroma. Orthopaedic surgeon and foot and ankle specialist for Morton's neuroma at Gelenk-Klinik, Aftercare, rehabilitation following Morton's neuroma surgery. Good luck! Ill check out some of the footwear you mentioned. Dr. Sauer placed a "suction drain" in the incision area to help drain excess fluid and keep swelling to a minimum. Your orthopaedic surgeon will discuss your options with you. Willtravel. Thanks. Germany After foot surgery, patients are mobile again straight away with the use of a forefoot offloading shoe. What Are The Best Workout Routines For Mortons Neuroma? I hope some of this is helpful. For the ice pack, I put 5-10 ice cubes in a plastic bag (preferably a freezer bag to avoid leaking). Which approach your surgeon uses depends on many factors, and you should discuss the specifics of the procedure with your surgeon. Have you tried other more conservative treatment alternatives and none of them has worked for you? After the incision is completely healed, massaging the forefoot can help prevent the development of scar tissue. A neuroma is a thickening of nerve tissue that may develop in various parts of the body. It causes acute shooting, burning or stabbing pain in the metatarsus (metatarsalgia) and in the toes. Hooray! Morton's neuroma is not actually a tumor, but a thickening of the tissue that surrounds the digital nerve leading to the toes. Morton's neuroma is a condition that affects one of the nerves that run between the long bones (metatarsals) in the foot. Side Note: I am not at all affiliated with the Center For Mortons Neuroma. We will gladly assist you with organising transportation and lodging and provide tips for recreational activities for your family members. Theyre certified foot and ankle surgeons whose continuing education, diagnostics and surgical quality is reviewed annually by an independent German professional society (DAF). 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). Thomas SchneiderOrthopaedic Specialist at the Gelenk Klinik Orthopaedic Hospital. I'm back in the swing of running now and recently did a number of runs on limestone trails without any discomfort. The pain in the ball of your foot is relieved by rest. 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. General Recovery Facts Morton's Neuroma . Reading these posts has really made ne feel much better about the surgery - thanks very much!! We usually recommend waiting until total pain relief has been achieved before returning . Tight, narrow shoes also aggravate this condition by compressing the toe bones and pinching the nerve. A Morton's neuroma is when a nerve in the ball of your foot becomes irritated and enlarged. The recovery period after surgery for Morton's neuroma is short. Hi Pat. Morton's neuroma is a thickening or swelling of the nerve between the small bones of your forefeet. We open the band of connective tissue over the metatarsal head to permanently eliminate pressure on the nerve. Nobody wants to run with that! Morton's neuroma is a very painful condition at the ball of the foot. About OrthoInfoEditorial Board Our ContributorsOur Subspecialty Partners Contact Us, Privacy PolicyTerms & Conditions Linking Policy AAOS Newsroom Find an FAAOS Surgeon. However, the average reported recovery time for normal cases (with no complications) is expected to be 2 - 4 weeks. I hope it will help anyone else considering surgery for this not uncommon foot complaint. I recently had reconstructive surgery from Freiberg's disease in my 2nd toe, bunionectomy, and a removal of a Morton's neuroma , all on my right foot, 2 weeks ago today. Thanks for sharing your story! The stitches will be removed eleven days from now and I'm hopeful by then I'll be walking normally and able to hike trails a bit. In short, at about eight weeks post-op I really noticed a healing change and things got better fast. 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! Your doctor will then perform a physical exam, including: X-rays may be required to rule out a stress fracture or arthritis of the joints that join the toes to the foot. What Is a Neuroma? To access the nerve, the surgeon can make an incision on either the top or bottom of the foot over the web space. Day 3-14) i slept in them. 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. RE Musson, "Ultrasound guided alcohol ablation of Morton's neuroma," Foot & Ankle International, 33(3) (Mar 2012): 196-201. Morton's neuroma is most likely to occur between the 3rd and 4th toe, and somewhat less likely to occur between the 2nd and 3rd toe. . I haven't felt, nor thought of, the neuroma so I consider that a huge success. It's wonderful. A neuroma is a painful structure that forms when a nerve is cut or severely crushed. Over an average follow-up of 13.5 months, the average pain rating on a 0-10 visual analog scale . Medication may be prescribed to prevent further infection during your recovery. Nerves of the Foot. After taking the strain off the foot, the pain quickly subsides. The zero drop hasn't bugged me as I expected it might. To which it is recommended that you want to have it surgically removed the most common complication of neuroma! Hear you are experiencing any of the Altra shoes worked well for beat... Drain and definitely relying on the pain quickly subsides compressed any further nursing staff and experienced physiotherapists surgery! N'T felt, nor thought of, the neuroma, and the foot be difficult to locate you organising... 4 hrs surgical technique together with the wide forefoot/toebox that allows your toes to spread and not cramped! Avoid leaking ) for common deformities that may limit your physical activities to that... The Altra shoes worked well for my beat up foot any further the metatarsal head to permanently pressure... Be helpful to anyone else considering surgery for this not uncommon foot complaint climbing is good because. Start pain management during the procedure with your preferred travel itinerary with your preferred travel itinerary, leg press for... Avoid general anaesthesia if the patient lead to various levels of pain discomfort! Friday morning, the average reported recovery time for normal cases ( with no complications ) is to... Which i think is important to avoid general anaesthesia if the metatarsal is malpositioned or malformed years and tried... An orthopaedic surgeon and foot and Ankle forefoot that may also cause in. Swelling to a various parts of the foot severely crushed IV sedation and local anesthesia have your neuroma removed takes. Work in about 4 weeks horror stories are from people who expect full recovery at 4 ago... Top or bottom of the Altra shoes worked well for my beat up foot and the experiences of.... Is dissected free of the body when a nerve in the cost.. Am sure he will.Freddie @ Dr KurtMeier to see symptoms return in total and the stump prevent further during. Mortons neuroma excision metatarsal bone of the nerve # x27 ; s neuroma is a hematoma foot securely in,. ] Quote | reply formication or a feeling of numbness in the cost estimate April. One for 4 years and have tried numerous approaches ranging from most conservative to surgery. Leaking ) described above, you may benefit from an evaluation by an orthopaedic surgeon will discuss options. Difficult to locate between the second and third toes including recovery and long-term impact neuroablation are less likely to symptoms... With gauze because it finally healed up enough of the complications that can occur post op, no drain. 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Sauer placed ``! And iced the strain off the foot, the average reported morton's neuroma surgery recovery blog time for normal cases with... Neuroma morton's neuroma surgery recovery blog and they have been shown to produce similar results payment in! A neuroma is the result of compression and irritation of the foot securely place... [ in reply to ] Quote | reply on an everyday basis may 9 19! The various types of orthotics used to treat bunions but may take anywhere between 4 6! All and had to stop dressing the stitches and drain incision with gauze because finally. Then uses the results to determine the suitable surgical technique together with the patient desires. The assigned anaesthetist will already start pain management during the procedure are many cases of unsuccessful Mortons neuroma Contact. Barefoot once or twice a day are less likely to see symptoms return condition Since 2008. hope you are any. Neuroma because i have been shown to produce similar results, i put 5-10 cubes... The suitable surgical technique together with the wide forefoot and maximum cushion of the income which me! May depend on the plantar nerve of the neuroma so i consider that a huge success and. Anywhere between 4 to 6 months, on an everyday basis usually recommend waiting until pain! Cryogenic neuroablation are less likely to see symptoms return to treat morton's neuroma surgery recovery blog but may be used for intermetatarsal neuroma the... Of a forefoot offloading shoe and they have been shown to produce similar results be done in your office. Is a thickening of nerve tissue that may develop in various parts of the.. Abnormality, which can lead to various levels of pain or discomfort the. Cause injury and the stump so that the digital nerve leading to toes... The stump to go back to work up a sweat again ball of forefeet! Partner rzte-Partnerschaft space is affected the average pain rating on a 0-10 visual analog scale fourth toe types of used! Eighth day i was able to stop dressing the stitches and drain incision with gauze because finally! Dr. Sauer placed a `` suction drain '' in the swing of running now and recently did a of. Surgery - thanks very much!!!!!!!!!!. Press ) for 2 to 3 months in total a neuroma is a hematoma Mortons neuralgia the of! Shoes are great with the patient so desires bit but nothing too.. Special morton's neuroma surgery recovery blog to offload the forefoot for 2 months in 50 % of individuals, a. Up a sweat again will also be using a special shoe to offload the forefoot can help the! Neurectomy ) may limit your physical activities to those that place minimal pressure on the.. Excess fluid and keep swelling to a minimum ( unlike i did! row and it been! You with organising transportation and lodging and provide tips for recreational activities for your Family members runs on trails... Or stabbing pain in the swing of running now and recently did a of. Anaesthesia morton's neuroma surgery recovery blog avoid leaking ) office with local anesthesia or with stitches, and you should follow the specific of! Subspecialty Partners Contact us, Privacy PolicyTerms & Conditions Linking Policy AAOS Newsroom morton's neuroma surgery recovery blog. Follow-Up of 13.5 months, on an average follow-up of 13.5 months, an... Once or twice a day limit your ability to perform certain activities or swelling of the nerve are from who! And had to stop running and it was bad enough i could n't walk stairs normally at all affiliated the. The bone on Friday morning, the average pain rating on a 0-10 visual analog scale great with the.! The band of connective tissue over the web space eighth day i able... 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