The thickening of the nerve that defines a neuroma is the result of compression and irritation of the nerve. 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. I was going to suggest Altras and then I read further ;-) These shoes have been a wonder for my neuroma, which isn't all that bad.Good luck with the healing and Hardrock training!Miss you guys! Have you tried other more conservative treatment alternatives and none of them has worked for you? The human body is a pretty amazing thing (as are antibiotics! The patient can walk out the same day and have the dressing removed the following day. Hi, I just had surgery and pray I can plan a ultra for next year. I have been battling with one for 4 years and have tried numerous approaches ranging from most conservative to actual surgery 7 days ago. 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. For many years I didn't know what the . In other words, it can take 3-4 months to become fully mobile. After determining the patients suitability for surgery, the treating physician will discuss the procedure and possible complications of the surgery with the patient. And as far as numbness, it still feels like Im stepping on a skinny branch when I walk, and theres no feeling between the toes whatsoever. Arabic) at any time, at the patients expense. Complete recovery typically takes three to six weeks. Symptoms include pain, burning, numbness and tingling between two of the toes of the foot. AAOS does not endorse any treatments, procedures, products, or physicians referenced herein. 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. My doctor is a foot and ankle orthopedist at a sports clinic. We typically perform Mortons neuroma surgery under general anaesthesia. Neuromas bothfeet. The main symptoms of Morton's neuroma include: a shooting, stabbing or burning pain. The inpatient stay following the procedure is typically 3 days. Morton's neuroma may feel as if you are standing on a pebble in your shoe or on a fold in your sock. Germany Blog; Testimonials; Contact; Call Us. If the size is less than 0.8 cm, surgery can be used to save the nerve (neurolysis). What Is a Neuroma? 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. There may be numbness or an unpleasant tingling in the toes. Plantar (underside) and dorsal (topside) views of the foot showing a Morton's neuroma (circled) in the third web space. Over an average follow-up of 13.5 months, the average pain rating on a 0-10 visual analog scale . Recovery time post-surgery will differ from person to person depending on a number of factors such as age, nutrition, and other medical conditions. But really I'm very pleased with the recovery thus far. You can return to your normal activities within 3-4 weeks. Recovery from Mortons neuroma surgery takes up to 3 months in total. Podiatrists providing Foot Surgery services to Richardson, Dallas and Garland, TX. Hooray! Wow, you jumped right in shortly after your surgery ehh? I also started taking baby steps barefoot once or twice a day. 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. Intermetatarsal ligament release (decompression): This is a simple operation to release the ligament between the metatarsal bones. Do you have Mortons Neuroma and decided that you want to have it surgically removed? Marbethrichmond@gmail.com. At night I massage the incision very lightly using an ointment with comfrey and St. Johns Wort. Putting pressure on the spaces between the toes to try to pinpoint the specific site of the pain. Now i have to say when i took them off in the morning my toes hieted a bit. Following surgery for removal of an inflamed nerve caused by Morton's Neuroma, I've been keeping a journal of the recovery. Monday morning I went to see Dr. Sauer to have the suction drain removed. Thanks for your reply. Morton's Neuroma Surgery. I had the surgery in December. Hi everyone. The most common complication of Morton's neuroma excision is numbness in the toes, which may be permanent and can cause problems with footwear. Other possible complications include wound infection and delayed healing, worsening of pain, and recurrence of the neuroma. Thanks for the update on your recovery. You should also wear compression stockings until full weight bearing has been restored. These are merely suggestions, not prescriptions. joint-surgeon, MVZ Gelenk-Klinik Dres Schneider, Ostermeier & Partner rzte-Partnerschaft. Got an MRI ordered and then it seems like surgery is iniveitable. Orthoticsincremental help. 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. Refer a patient. Do you find you have any lingering scar tissue / stiffness in that area of your foot? If conservative treatment does not relieve your symptoms, however, you may require a Mortons neuroma excision. Recovery is complete in 2 months in 50% of individuals, but may take up to a . Even doctors themselves will advise you to try out non-surgical treatments first before you decide to go under the knife. The pinching prevents the nerve from being adequately supplied with nutrients. :-). The first two weeks are about keeping your wound clean, your foot elevated to reduce swelling, and general rest. Contact Information. Plantar (underside) view of the foot showing the web spaces between the bases of the metatarsals, as well as the plantar nerves and transverse metatarsal ligaments. Remember, Im not a Doctor. Ease into walking but plan on crutches and no impact (jumping, running, leg press) for 2 months. I'm now three weeks post-op for surgery to remove a damaged nerve in my foot. 2. The surgery was about an hour, and I was told you elevate as much as possible for 2 weeks. If the personal quality of life has been reduced and pain is severe, and if conservative treatment is unsuccessful, surgery is an option. I started running in Altras a few months ago and I'm looking forward to many more miles in them. 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. 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. It's been five days since the surgery now and I wanted to document the surgery and my recovery a bit. I don't have any stiffness in that area of my foot and if I try to dig into it to find thicker tissue, I can't really feel anything. My third nd fourth toe were numb for a few days after surgery. 1. It can affect any of the toes in the foot. A complete Recovery from Morton's neuroma may take anywhere between 4 to 6 months, on an average. A welcomed change that has alleviated so many problems and no surgery!! 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. I had surgery scheduled about 18 months ago and chickened out but am now planning on surgery in April. 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. it makes recovery much faster, but it is important to take it easy after the surgery. Treating Morton's neuroma by injection, neurolysis, or neurectomy: A systematic review and meta-analysis of pain and satisfaction outcomes. I never did do any massaging of the foot or scar tissue post-op. In some cases, a stump neuroma may form. Morton's neuroma is not actually a tumor, but a thickening of the tissue that surrounds the digital nerve leading to the toes. Ive always been nervous about the surgery but its nice to know that its really worked for some people. The foot can bear full weight again about 3 to 6 weeks after neurolysis. Protocols differ, and you should follow the specific instructions of your operating surgeon. 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 . Our goal is for you to experience as little pain as possible after surgery. Foot pain can sometimes be a sign of an underlying condition that requires medical attention. Podometry (foot pressure measurement) is also helpful to measure the pressure distribution under the bottom of the foot. MrTri123. I know the Altras are good for running but what do you use on an everyday basis? I was able to lead climb and not worry about my foot much. You can expect to go back to work in about 4 weeks. . The nerve becomes swollen because of the nerve trapping between the heads of the small bones. Nerve recovery is along and I suspect many of the horror stories are from people who expect full recovery at 4 months. IV sedation requires the assistance of an anesthesiologist to administer the medication and monitor your vital signs. care@joint-surgeon.com, Dr. med. In short, at about eight weeks post-op I really noticed a healing change and things got better fast. That's a great detailed account--really glad that it seemed to go so smoothly and that you're getting back so quickly. To book an appointment at Metroplex Foot and Ankle LLP, call us at 214-217-3668. . In addition, there will be a discussion with the anaesthetist, who will again review the patients health condition with respect to anaesthesia. 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. Checking the position of the toes and foot for common deformities that may also cause pain in the forefoot. Day 1) i applied them for 2 hrs and i placed my feet on the ice pack (never directly to skin). The first two weeks are about keeping your wound clean, your foot elevated to reduce swelling, and general rest. Appointment Request. 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) Something weird's going around town, though, what with all the foot injuries/repairs. With my issues with the infection of the incision, it was hard for me to tell what discomfort was related to what. The zero drop hasn't bugged me as I expected it might. (774) 421-9144. . Yet neurectomy so actually amputating the nerve is still considered the standard treatment for Mortons neuralgia. I think the two bits of advice I'd like to pass on to anyone else undergoing surgery for Mortons Neuroma are: 1. Walking barefoot currently feels the best but Im not sure if that is just making it worse. Gelenk Klinik Orthopaedic The story . Make sure you understand the risks and benefits of the surgery and discuss any concerns with your surgeon. carpal tunnel syndrome), decompressing the nerve is therefore an appropriate treatment strategy. In the first 2 months after the operation you should avoid heavier strain and rolling of the foot. Quick update- I started running again at week 5. Immediately after surgery you should elevate and ice your foot to minimise pain and swelling. Then a cadaveric nerve allograft is micro-surgically sewn on to the end of the native nerve. Another possible cause is a foot or gait abnormality, which can lead to instability and can also . 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. What happens if Morton's neuroma goes untreated? Thanks. ", 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. The exact cause is not certain. Surgery redo's. This is the most common method that your surgeon will likely perform. Keep your arm or leg elevated to reduce pain and swelling. 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. You can read more about how this procedure works in this article, The procedure itself should not be painful because your surgeon will administer anesthesia to you before the surgery. You should seek evaluation from an orthopaedic surgeon if you have continued pain or discomfort in your forefoot. The pain is caused by the thickening tissue around the nerve. I'm really looking forward to healing up and training without the discomfort of this neuroma. 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. There are many cases of unsuccessful Mortons Neuroma surgery. Nerve sclerosis with alcohol injectionsno help whatsoever. That means taking a tactical break from regular running in favour of low-impact activities, like swimming. If the surgery went well, you can expect to experience some soreness when the anesthesia wears off. The recovery period after surgery for Morton's neuroma is short. 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. Splayfoot changes the position of the metatarsal bones and increases pressure on the nerves running along the sole of the foot. I had surgery two years ago read lots of blogs good and bad oneshad the surgery and my foot is fine now glad I had it done,,, don't know how I got it never wore heels.it's two years ago and the healing process is long about a year before it is perfect!!!! Manage soreness and inflammation. I no longer think about my neuroma anymore. I do seem to recall some tenderness for a few months that was uncomfortable but not like the neuroma pain was. Can't find doctor i trust. 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. These will cost between 1,500 to 2,000 Euro. But even men primarily runners training a lot can develop it. Gelenk-Klinik Gundelfingen is DIN ISO 9001:2015 certified. In addition, most of the studies related to it are case-control or retrospective case series. If Morton's neuroma swelling is too severe, the nerve will need to be removed (neurectomy). 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. I wanted to make this thread to chronicle my recovery from Morton's Neuroma surgery. My advice to you, one Mortons Neuroma sufferer to another, once you are diagnosed with this condition, do not rush into surgery. 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? 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