This will again vary from person to person. 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. Foot pain can sometimes be a sign of an underlying condition that requires medical attention. It is sometimes referred to as an inter-metatarsal neuroma, meaning "between the metatarsals". Hi everyone. Skip to content +44 (0) 20 7046 8000 . Shawn Franz, it has been five years now since my neuroma surgery and it has been trouble free. To access the nerve, the surgeon can make an incision on either the top or bottom of the foot over the web space. 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. Maybe even snow sports now? 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. After week 6 I started running my normal 5 miles without any pain or trouble. This can cause numbness, tingling, or pain similar to what you had . This shoe shifts the entire bodyweight to the heel. It is similar to a ganglion cyst, which occurs usually around the wrist. These typically fade as you progress through your recovery. Studies indicate that over 35% of patients who have had their neuroma removed surgically experience post-neurectomy pain. I started running in Altras a few months ago and I'm looking forward to many more miles in them. Find out when to see your doctor, and much more. 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? There are generallytwo methods which can be used: neurolysis to save the nerve or removing the nerve. 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. This information is provided as an educational service and is not intended to serve as medical advice. I have been battling with one for 4 years and have tried numerous approaches ranging from most conservative to actual surgery 7 days ago. Conservative options are meant to make the pain go away without tempering much with the damaged nerve. During your inpatient and outpatient stay our multi-lingual (English, Russian, Spanish, Portuguese) case management team will be there to assist you. I would think a local podiatrist would be able to help you though, especially in a large market like Dallas. Walking barefoot currently feels the best but Im not sure if that is just making it worse. 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. Ten days post-op I went rock climbing again, using bigger, more comfortable climbing shoes and this felt very reasonable. Nerve compression is caused by mechanical pressure on the plantar nerve of the foot. However, its more common between the 3rd and 4th toe. Tim Jantz #1, DPM . Massaging the foot during the first 3 months from surgery . Good luck! Some people have reported that surgery has helped them get their lives back. Pain that improves with removing your shoes, flexing your toes, and with a foot massage. 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. Neuroma / surgery* Pain . The first two weeks are about keeping your wound clean, your foot elevated to reduce swelling, and general rest. This means: You will be in the care of your treating physician from the initial examination until after surgery. 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. 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. The physician then uses the results to determine the suitable surgical technique together with the patient. Even after successful surgical treatment, it is possible for a Mortons neuroma to come back. FYI: There are now over 200 comments on this blog post (as of May 2013). Many of the nerves of the foot are relatively superficial and can easily become damaged when the foot suffers a contusion or laceration. Morton's neuroma is a condition that affects one of the nerves that run between the long bones (metatarsals) in 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. 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. need doctor recommendations. An intermetatarsal neuroma (also called Morton's neuroma) is a very common condition that most frequently affects the bottom of the ball of the foot and the toes. After determining the patients suitability for surgery, the treating physician will discuss the procedure and possible complications of the surgery with the patient. Morton's neuroma is a benign neuroma of an intermetatarsal plantar nerve, most commonly of the second and third intermetatarsal spaces (between the second/third and third/fourth metatarsal heads; the first is of the big toe), which results in the entrapment of the affected nerve.The main symptoms are pain and/or numbness, sometimes relieved by ceasing to wear footwear with tight toe boxes and . The neuroma is dissected free of the nerve to which it is attached and excised. The actual surgical strategy is therefore often only determined during the procedure after directly analysing and viewing the Morton's neuroma. Before we proceed, let me ask, is surgery your last resort? The story . The irony of using a surgical technique normally reserved for 'true neuromata" on a Morton's neuroma is that the surgery can actually cause a true neuroma or more accurately a 'stump neuroma'. The assigned anaesthetist will already start pain management during the procedure. The neuroma was "quite sizable". The symptoms may be worse when you move your foot or wear tight or . Please stay up to date with www.joint-surgeon.com: Follow on Facebook, Twitter, linkedin, Instagram, Dr. Thomas SchneiderOrthopedic Specialist, Foot and Ankle Surgery, Dr. Martin Rinio, MD, Orthopedist,Ankle-Surgeon and Trauma Surgeon, Certified Centre for Arthroplasty (Centre for Endoprosthesis), Orthopaedic Gelenk-Klinik is certified Centre for Endoprosthesis (EPZ). What's the latest? Dr. Sauer placed a "suction drain" in the incision area to help drain excess fluid and keep swelling to a minimum. You can expect to get back into . Side by side comparison. Podiatrists providing Foot Surgery services to Richardson, Dallas and Garland, TX. Day 3-14) i slept in them. Morton's neuroma is a thickening or swelling of the nerve between the small bones of your forefeet. Cortisone injectionsonly worked for a few weeks at at time. Mortons Neuroma Nerve Decompression Surgery, Recovery Time After Mortons Neuroma Surgery. This thickening can lead to various levels of pain or discomfort in the forefoot that may limit your ability to perform certain activities. Surgery to correct a Mortons neuroma can be done in your podiatrists office with local anesthesia or with IV sedation and local anesthesia. . 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! 1. You can do Ultrasound Guided Platelet Rich Plasma Injections. Approximate six months ago, the pain in the area of the Morton's neuroma excision started to become much more severe with radiation of pain into . After neurolysis you should wear a special shoe to offload the forefoot for 2 to 3 weeks. The Altra shoes are great with the wide forefoot/toebox that allows your toes to spread and not be cramped. All rooms also have a television. Camino Frances 2018, 2021. Symptoms of Morton's Neuroma usually consist of pain, tingling, numbness and burning sensations. 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. I saw an orthopedic doc and he immediately suggested surgery. 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. I am bruise free now. The procedure is done in about 8 minutes. There is good news for those who had undesirable results with Mortons Neuroma surgery. Thanks Jason. joint-surgeon, The foot viewed from the sole: In this case, Morton's neuroma is located between the 2nd and 3rd toe. 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. 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. As it would turn out, I never felt any post-op pain at all and that would be the only pain pills I took. Premium orthotic insoles with anatomical arch support (removable) and Arch Booster re-align the foot and entire body posture. I had to stop running and it was affecting my every day life. 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. Thomas SchneiderOrthopaedic Specialist at the Gelenk Klinik Orthopaedic Hospital. All rights reserved. There is a reported 90% success rate with this method. That's a great detailed account--really glad that it seemed to go so smoothly and that you're getting back so quickly. and putting your foot underwater (such as in a bathtub or swimming pool) until your surgical wounds are completely healed usually until at least 2 to 3 weeks after surgery. You can expect mild to moderate pain for a few days. Nerves of the Foot. Could you email me at lisacourcyrnc@gmail.com? Altra shoes don't work for me because they're zero drop and that beats up my achilles and posterior tibial tendons. I am curious as to whether or not you have numbness, and where and how much numbness you have from your operation. Morton's Neuroma is a painful health condition affecting the ball of your foot, commonly around the area between the third and fourth toes. Do you find you have any lingering scar tissue / stiffness in that area of your foot? 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 . 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. Copyright 1995-2021 by the American Academy of Orthopaedic Surgeons. She underwent an excision of a "Morton's neuroma", in 2013. The exact cause of a Mortons neuroma is not known, but current research suggests it is likely the result of entrapment (i.e., compression or squeezing) of the common digital plantar nerves. Sprinters may feel pain as they push off from the starting block. Monday morning I went to see Dr. Sauer to have the suction drain removed. It's wonderful. The wide forefoot and maximum cushion of the Altra shoes worked well for my beat up foot. Hey Shawn, glad you got it done and you're on you way to recovery. Two and a half years later and I'm still completely good to go. 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