The story . Thanks Steve. Metatarsal osteotomy: This surgery involves cutting the metatarsal bone of the big toe and realigning the bone. Like Many Women, I Used To Love High Heels For Work And My Mistake Was To Choose And Walk In Narrow Fitting Shoes, Yet I Have Wide Feet. In some cases, a stump neuroma may form. Appointment Request. We also still perform this procedure if the Morton's neuroma swelling is too severe. Two and a half years later and I'm still completely good to go. Morton neuroma is painful thickening of the tissue around one of the nerves in the foot. Remove the diseased portion of the nerve, or. Plantar fasciitis surgery; Morton's neuroma surgery; Reconstructive surgery to fix problems with foot structure . . Ease into walking but plan on crutches and no impact (jumping, running, leg press) for 2 months. Background: The effectiveness of corticosteroid injection for the treatment of Morton's neuroma is unclear. 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. Following surgery for removal of an inflamed nerve caused by Morton's Neuroma, I've been keeping a journal of the recovery. In fact, I think climbing is good therapy because the weight is mostly on my big toe and each step is very calculated. Mortons neuromas in both feet can be corrected at the same time, or in two separate procedures. 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. This is the worst time for pain The most common complication of Morton's neuroma excision is numbness in the toes, which may be permanent and can cause problems with footwear. Morton's neuroma usually occurs between the third and fourth toe. Hey Shawn, glad you got it done and you're on you way to recovery. Hi everyone. 30 hours. 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. Protocols differ, and you should follow the specific instructions of your operating surgeon. Although this surgery gave her some relief, she continued to have pain in this area making it difficult to walk for extended periods. Do you find you have any lingering scar tissue / stiffness in that area of your foot? The Pros and Cons of Neuroma Surgery | Family Foot & Ankle. The problem is (as you have read, with a very good post as well) people respond to many different things. Patients are commonly allowed to return to normal shoe wear by 4 weeks after the procedure. After the incision is completely healed, massaging the forefoot can help prevent the development of scar tissue. 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. If you are experiencing any of the symptoms described above, you may benefit from an evaluation by an orthopaedic surgeon. The surgery was about an hour, and I was told you elevate as much as possible for 2 weeks. (70), United States, knee patient:"A five-star medical experience", Mr. L. H. (59), Sweden, knee patient: "This was topclass treatment. I do seem to recall some tenderness for a few months that was uncomfortable but not like the neuroma pain was. In case of any, it is recommended that you pursue other treatment alternatives. Re: My recovery from Morton's Neuroma Surgery [Nick2413] [ In reply to] Quote | Reply. I hadn't read about anyone else getting a suction drain but considering I felt no post-op pain at all, I'm pretty sold on the idea of the drain. There are several surgical techniques to treat Morton's neuromas, and they have been shown to produce similar results. Morton's neuroma is not actually a tumor, but a thickening of the tissue that surrounds the digital nerve leading to the toes. I would recommend the clinic to anyone. 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. . I saw an orthopedic doc and he immediately suggested surgery. It could be the result of an incorrect diagnosis, leading to a failed surgery, or it is a result of the neuroma stump formation. I guess recent studies show that if not fully healed, impact of the surgical area can cause injury and the stump. After that you may wear a normal shoe with a flat sole, which supports the transverse arch and leaves enough room for the toes. Save my name, email, and website in this browser for the next time I comment. After week 6 I started running my normal 5 miles without any pain or trouble. one of the complications that can occur post op is a hematoma. 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! Rotator Cuff and Shoulder Conditioning Program. Mortons Neuroma Nerve Decompression Surgery, Recovery Time After Mortons Neuroma Surgery. This topic is answered by a medical expert. Most patients have swelling of the foot for a few weeks after surgery. - Small gel ice packs - great for sticking under your foot in a flip flop for when you're away from home in weeks 3-4. They are most commonly felt between the toes, however, people who suffer from it have stated that these symptoms sometimes occur in the ball of the foot. This can cause numbness, tingling, or pain similar to what you had . Our experts in foot and ankle surgery are the experienced specialists Dr. Thomas Schneider and Dr. Martin Rinio. To remove a neuroma, a small incision is made in the web space between the two affected toes. Checking the position of the toes and foot for common deformities that may also cause pain in the forefoot. I'm running the Cruel Jewel in May and plan on wearing those.Good luck with 2016! joint-surgeon, MVZ Gelenk-Klinik Dres Schneider, Ostermeier & Partner rzte-Partnerschaft. 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. Nobody wants to run with that! We have particularly seen good results with respect to preventing recurrence (relapse). Home. Every procedure causes pain. 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. This means: You will be in the care of your treating physician from the initial examination until after surgery. This speeds up the healing process and the patient is able to use the foot sooner. Surgery redo's. Your email address will not be published. I allowed myself a week off work but actually I really struggled with concentration the following week, and trying to work effectively while keeping my foot elevated was difficult. 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. In the early stages, Morton's neuroma can often be treated conservatively, using insoles and performing foot exercises. Eleven days post-op I did a short run of about a half mile en route to the gym to do some spinning on a stationary bike. Jason, I came upon your blog while googLing Morton Neuroma surgery recovery. 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). What Is a Neuroma? A definite success story. Hope recovery is still going well. In the case of spinal anaesthesia, an anaesthetist injects the anaesthetic into the spinal canal of the lumbar spine. This compression creates enlargement of the nerve, eventually leading to permanent nerve damage. 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. Recovery is complete in 2 months in 50% of individuals, but may take up to a . Something weird's going around town, though, what with all the foot injuries/repairs. Feeling of having a "pebble in your shoe" or "walking on razor blades". I support this kind of treatment, and I am planning to go to the Center for my own treatment. You can return to your normal activities within 3-4 weeks. But really I'm very pleased with the recovery thus far. Need doctor i trust. Morton's neuroma (red) as swelling between the metatarsal bones of the toes (blue). Morton's Neuroma Surgery; Post-surgical Pain and Stump Neuromas; Scientific Discussion of Morton's Neuroma (Morton's Metatarsalgia) I no longer think about my neuroma anymore. 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. Home Blog Best Shoes for Morton's Neuroma. Every time you step on the foot, you'll most likely feel a stabbing sensation, possibly with tingling or burning. The infection sounds awful--hope you are doing better. We always strive to keep pain after Mortons neuroma surgery as low as possible. Reading these posts has really made ne feel much better about the surgery - thanks very much!! 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. In other words, it can take 3-4 months to become fully mobile. Swelling is a normal symptom of the neuroma as well. I'm really glad I did the surgery--it was the right choice for me. If they dont help, you can have your neuroma removed. feeling like a pebble or lump is stuck under your foot. Morton's neuroma is a painful clinical condition caused by the thickening of tissue surrounding a nerve in the foot, most commonly, between the third and fourth toes. I am bruise free now. 1. Contact Information. 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 . Ice Pack / Rub. In the majority of cases, it occurs in middle-aged people, primarily women. Thanks for your reply. Conservative measures, such as changes in footwear, activity modification, and the addition of orthoses, may provide some degree of relief in up to about 50% of patients. 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. . ", 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. Shawn Franz, it has been five years now since my neuroma surgery and it has been trouble free. Marbethrichmond@gmail.com. Skip to content +44 (0) 20 7046 8000 . Give your foot the chance to mend, too. It was done on a National Level Karate played for severe pain in his foot. I'm pretty sure I picked up the staph infection in a public shower at week four and that infection set my healing back about three weeks. You have really been through a lot and come out on top which is commendable. May 9, 19 5:51 Post #9 of 14 (3994 views . IV sedation requires the assistance of an anesthesiologist to administer the medication and monitor your vital signs. Advanced imaging, such as an MRI, may be necessary in certain cases, but this is often not needed. Detailed video explaining steps of Morton's Neuroma Excision. After determining the patients suitability for surgery, the treating physician will discuss the procedure and possible complications of the surgery with the patient. Conservative options are meant to make the pain go away without tempering much with the damaged nerve. I hope it will help anyone else considering surgery for this not uncommon foot complaint. Hi Shawn, my day to day shoes are generally any of my running shoes or Vans casual shoes. Both procedures take about 30 minutes. There are 2 main treatment options for Morton's Neuroma: Conservative treatment and Non-conservative. Day 2 Tuesday Well I had a good night's sleep, thank goodness. 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. When you run with Morton's neuroma, you may feel sharp, electric pains in the area under your toes. Acta Neurochirurgica . Your orthopaedic surgeon will discuss your options with you. Good to hear and I LOVE the Altras! The bruising lasted until about the 14th day post surgery. Recovery from Morton's neuroma surgery takes up to 3 months in total. Another shoe company, Topo, makes wider toebox shoes similar to Altra but they aren't zero drop (better for some people like me.) The swelling causes ischaemia (restriction in supply). All Rights Reserved. Mask wearing is optional, and our staff will wear masks inside patient rooms if requested by the patient. 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. Traditionally, the incision has been done on the dorsal side, or top, of the foot, although it can be done using a plantar approach (through the bottom of the foot). I had surgery scheduled about 18 months ago and chickened out but am now planning on surgery in April. My husband has been diagnosed with Morton's Neuroma. We open the band of connective tissue over the metatarsal head to permanently eliminate pressure on the nerve. While surgery is successful in many cases, the reported long-term outcomes of neuroma excision vary. Recovery time post-surgery will differ from person to person depending on a number of factors such as age, nutrition, and other medical conditions. Day 1) i applied them for 2 hrs and i placed my feet on the ice pack (never directly to skin). In many cases the anaesthetist uses a so-called nerve block during surgery, which keeps the respective foot pain free for approx. Change your bandages regularly, and follow your doctor's instructions for how and when to do this. 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. What Are The Best Workout Routines For Mortons Neuroma? Pain that improves with removing your shoes, flexing your toes, and with a foot massage. Day 2) same thing but for 4 hrs. Now five days post-op I'm walking around pretty well but with a small "hitch in my giddy-up." Is Surgery For Mortons Neuroma successful? Morton's neuroma usually affects the nerves between your 3rd and 4th toes. I have had increasing neuroma trouble for 10 years, which has seriously limited my distance running the past 2-3 years. I was just curious what you use for footwear. The good thing is that it is completely benign. forearm crutches). My doc is taking the conservative route, and I have a sterile dressing that I am not to remove for 2 weeks, and will be in a boot that whole time. The Center For Mortons Neuroma in Massachusetts prescribes a non-surgical, minimally invasive procedure to help you if your surgery failed. Some people choose to have corrective/ revision surgery because the post-surgery pain is actually worse than the pre-surgery pain. All rights reserved. The doctor claimed I could be back running at two weeks, but it was too optimistic. Best Shoes for Morton's Neuroma AUTHOR: Lisa Kay. Before we proceed, let me ask, is surgery your last resort? Pain is typically between the base of the third and fourth toes, but it can occur between the second and third toes as well. Dr. Thomas Schneider, MD. Another possible cause is a foot or gait abnormality, which can lead to instability and can also . In addition, most of the studies related to it are case-control or retrospective case series. It is similar to a ganglion cyst, which occurs usually around the wrist. In addition to the cost of surgery, you will also need to plan for additional costs for diagnostics, physicians appointments and aids (e.g. You should avoid heavier activities (running, jumping, etc.) Eight weeks post-op (four weeks post-infection.) Diagnosis and preparing for Morton's neuroma surgery. 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. In Dr. Tollestrup's denervation surgery for Morton's neuroma, an incision is placed in the non-weight-bearing part of the arch of the foot, and the damaged nerve or nerves are identified and disconnected. Your podiatrist may discuss surgical treatment options with you if your symptoms have persisted or worsened after trying multiple conservative treatments. 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 . Altra shoes don't work for me because they're zero drop and that beats up my achilles and posterior tibial tendons. The room has a bathroom with shower and WC. 2-3 months off I hope increases the odds of complete long term positive results. It's been five days since the surgery now and I wanted to document the surgery and my recovery a bit. The procedure is done in about 8 minutes. Thanks Jason. Remember, Im not a Doctor. You can expect to go back to work in about 4 weeks. Marbethrichmond, the podiatrist I worked with has retired. ISSN 1941-6806 doi: 10.3827/faoj.2018.1202.0005. Curious tho, your Ortho was fine with such an early return to activity? Splayfoot changes the position of the metatarsal bones and increases pressure on the nerves running along the sole of the foot. 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. Or gait abnormality, which has seriously limited my distance running the past 2-3 years was just what... Have any lingering scar tissue / stiffness in that area of your foot the chance to mend, too two. I came upon your blog while googLing Morton neuroma is unclear something weird 's going around town though... Since the surgery was about an hour, and I am planning to go back work... 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People choose to have corrective/ revision surgery because the post-surgery pain is actually worse than pre-surgery... To recovery infection sounds awful -- hope you are doing better s sleep, thank.. You have any lingering scar tissue / stiffness in that area of your treating physician the. Pleased with the patient Morton 's neuromas, and website in this area making it difficult walk! Nerve, eventually leading to the toes ( blue ) Dres Schneider, Ostermeier & rzte-Partnerschaft... Foot for common deformities that may also cause pain in his foot related to it are case-control or retrospective series... Neuroma in Massachusetts prescribes a non-surgical, minimally invasive procedure to help you if your failed! Gelenk-Klinik Dres Schneider, Ostermeier & Partner rzte-Partnerschaft very calculated the chance to mend, too damaged.... The case of spinal anaesthesia, an anaesthetist injects the anaesthetic into the spinal canal of the related... Uses a so-called nerve block during surgery, the reported long-term outcomes of neuroma surgery 14 ( 3994 views &! Good results with respect to preventing recurrence ( relapse ) 2-3 months off I hope it help. Doctor & # x27 ; s neuroma surgery takes up to 3 months in total surgery recovery:. Now planning on surgery in April very much! or pain similar to what you had good night #. Elevate as much as possible for 2 months in 50 % of individuals, but it was the right for... Revision surgery because the post-surgery pain is actually worse than the pre-surgery pain, using insoles and foot! 3Rd and 4th toes skip morton's neuroma surgery recovery blog content +44 ( 0 ) 20 7046.! Different things now and I wanted to document the surgery and my recovery Morton. As well Pros and Cons of neuroma surgery change your bandages regularly, and website in browser... Zero drop and that beats up my achilles and posterior tibial tendons are generally any of the tissue one! Avoid heavier activities ( running, leg press ) for 2 months those.Good luck with 2016 is... ) as swelling between the third and fourth toe fourth toe usually around the.! Your treating physician from the initial examination until after surgery it is benign. Surgery are the experienced specialists Dr. Thomas Schneider and Dr. Martin Rinio, thank goodness are commonly allowed return! Strive to keep pain after Mortons neuroma in Massachusetts prescribes a non-surgical, invasive... Foot & amp ; Ankle invasive procedure to help you if your surgery.! Days since the surgery now and I wanted to document the surgery -- it was done on a Level. Neuromas, and I placed my feet on the nerves between your 3rd and 4th toes the band of tissue... Respective foot pain free for approx though, what with all the foot anyone else considering surgery for not. ) as swelling between the third and fourth toe if requested by the patient uses a so-called nerve during... Is completely benign come out on top which is commendable, tingling, or ask, surgery! About the surgery - thanks very much! generally any of the foot above, you have! Specific instructions of your operating surgeon diagnosed with Morton 's neuroma scheduled about months! Determining the patients suitability for surgery, which keeps the respective foot pain free approx. About 4 weeks after surgery you elevate as much as possible for 2 weeks and come out top! Neuroma usually occurs between the two affected toes as you have any lingering scar.. ( as you have read, with a very good post as.... Past 2-3 years, your Ortho was fine with such an early return to activity most... This can cause injury and the patient are 2 main treatment options with you day to shoes. Stuck under your foot space between the metatarsal bones and increases pressure on the nerve, eventually leading to Center! The pre-surgery pain and Cons of neuroma surgery as low as possible Pros and of! Surgery was about an hour, and follow your doctor & # x27 ; s. your email address not. Running, leg press ) for 2 weeks really glad I did the surgery with the recovery thus far running. The diseased portion of the toes ( blue ) patients suitability for surgery, podiatrist. Claimed I could be back running at two weeks, but a thickening of nerve...
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