Our goal is for you to experience as little pain as possible after surgery. Left untreated, this neuroma can lead to permanent tingling or numbness in the foot.You should see a foot specialist or your primary care doctor for any type of foot pain that lingers more than a few days. Massaging the foot during the first 3 months from surgery . It involves making an incision at the top of the foot where your neuroma is, and carefully removing the affected nerve. To access the nerve, the surgeon can make an incision on either the top or bottom of the foot over the web space. After accessing the nerve, your surgeon may remove the swollen portion of the nerve or release tissues around the nerve to decompress it. Every time you step on the foot, you'll most likely feel a stabbing sensation, possibly with tingling or burning. !my doctor was a good podiatrists!!! Is it hard to get use to? Patients are usually able to wear a training type shoe by 2-4 weeks. 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. That, to me, is total success! HELP! When Can I Go Back To Work After Mortons Neuroma Surgery? Thanks for your reply. Im number between the two toes where the neuroma was but its really not a big deal. Feb 19, 2016. We have for example seen severe nerve injury in patients who have suffered road traffic accidents. A complete Recovery from Morton's neuroma may take anywhere between 4 to 6 months, on an average. 1 - 6 Saxby House Church lane Scunthorpe (DN15 7HY) In the case of spinal anaesthesia, an anaesthetist injects the anaesthetic into the spinal canal of the lumbar spine. (774) 421-9144. . The problem is (as you have read, with a very good post as well) people respond to many different things. Hope recovery is still going well. I'm running the Cruel Jewel in May and plan on wearing those.Good luck with 2016! Then, while running the, A few weeks later I went to see a local podiatrist, Dr. Sauer, that had. Likes Received: 1. 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. However, the average reported recovery time for normal cases (with no complications) is expected to be 2 4 weeks. The patient can walk out the same day and have the dressing removed the following day. #5. I'm back in the swing of running now and recently did a number of runs on limestone trails without any discomfort. This will again vary from person to person. Over an average follow-up of 13.5 months, the average pain rating on a 0-10 visual analog scale . The swelling causes ischaemia (restriction in supply). However, there are also significant cases (30%+) in which surgery, especially neurectomy, has not yielded desired outcomes. About a third of people just need simple treatments including modification of their footwear. It can affect any of the toes in the foot. Ice Pack / Rub. Tim Jantz #1, DPM . Hi, I just had surgery and pray I can plan a ultra for next year. Before the surgery, you may be given some form of sedative anesthesia, and a local anesthetic will be injected into the affected area of the foot. 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. With my issues with the infection of the incision, it was hard for me to tell what discomfort was related to what. one of the complications that can occur post op is a hematoma. For longer distances, you should also use forearm crutches to relieve your foot. Patients are commonly allowed to return to normal shoe wear by 4 weeks after the procedure. Many people use orthotics to improve the function and stability of their feet. I had mine 2 weeks ago. This already manages the greatest wave of pain, which can then be easily treated with regular medication. morton's neuroma surgery recovery mortons neuroma Neuroma on toes 1 & 2 Morton Neuroma surgery question botox for morton neuroma Always seek the advice of a podiatrist, physician or other qualified health care professional for diagnosis and answers to your medical questions. The goal is to reduce the squeezing action by the metatarsals and remove the irritation on the nerve by the ligament. 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. If the Morton's neuroma is not yet too severe (less than 0.8 cm), it can be operated on just like any other nerve compression syndrome to save the nerve. Having no pain post-op and being able to get around with only a small limp is encouraging. I appreciate your comments. I had the surgery in December. Altra shoes don't work for me because they're zero drop and that beats up my achilles and posterior tibial tendons. forearm crutches). After surgery you will receive 24-hour care from experienced nursing staff and experienced physiotherapists. 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. Compression of the nerve in the web space may trigger swelling and cause abnormal tissue to form in and around the nerve. Thomas SchneiderOrthopaedic Specialist at the Gelenk Klinik Orthopaedic Hospital. 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 addition to the cost of surgery, you will also need to plan for additional costs for diagnostics, physicians appointments and aids (e.g. Thanks for the comment coldsoil! 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. Recurrences are considerably more likely after amputating the nerve (neurectomy), as this does not remedy the underlying deformity of the arch. 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! 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. POSTED Nov 21, 2022 . Give your foot the chance to mend, too. Thanks +Mike Cappielo and Josh. Tingling or numbness at the base of the 2nd-3rd or 3rd-4th toes. Background: The effectiveness of corticosteroid injection for the treatment of Morton's neuroma is unclear. I do use the SOLE after market insoles for a bit of arch support. There are 2 main treatment options for Morton's Neuroma: Conservative treatment and Non-conservative. 2. Also known as an interdigital neuroma, a Morton's neuroma is a benign (non-cancerous) tumor of a nerve. 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. Ill check out some of the footwear you mentioned. Toll-Free: 888-689-3317. We will gladly assist you with organising transportation and lodging and provide tips for recreational activities for your family members. In addition, there will be a discussion with the anaesthetist, who will again review the patients health condition with respect to anaesthesia. Got an MRI ordered and then it seems like surgery is iniveitable. I have been battling with one for 4 years and have tried numerous approaches ranging from most conservative to actual surgery 7 days ago. 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. Quote Reply. We have started using a Ten's unit each night and it has made a tremendous difference! Stick these in the freezer and wear them when you have your foot elevated. Intermetatarsal ligament release (decompression): This is a simple operation to release the ligament between the metatarsal bones. The metatarsals are the long bones located in our feet, between the tarsal (ankle) bones and the phalanges (toes). Other complications associated with this surgery are described below. Nerve sclerosis with alcohol injectionsno help whatsoever. Swelling is a normal symptom of the neuroma as well. Morton neuroma is painful thickening of the tissue around one of the nerves in the foot. Willtravel. In other words, it can take 3-4 months to become fully mobile. 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. That's a great detailed account--really glad that it seemed to go so smoothly and that you're getting back so quickly. ISSN 1941-6806 doi: 10.3827/faoj.2018.1202.0005. Some mild bruising and bleeding is normal after foot surgery. He said I could walk in the boot right away, of course the first 2 days were slow and agonizing. Rarely, will you have any complications. Please give your feet a treat once in a while and get a masseuse or even a foot spa treatment. I never think about it any more and don't have any neuroma pain like I used to. Protocols differ, and you should follow the specific instructions of your operating surgeon. 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. 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. 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. You may have stinging, burning or numbness in the affected toes. Refer a patient. Neuroma / surgery* Pain . Theyre certified foot and ankle surgeons whose continuing education, diagnostics and surgical quality is reviewed annually by an independent German professional society (DAF). Remember, Im not a Doctor. The numbness typically wears off after 3-4 months. Immediately after surgery you should elevate and ice your foot to minimise pain and swelling. 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. I have no doubt you'll be in great shape for Labor Day. What happens if Morton's neuroma goes untreated? As it would turn out, I never felt any post-op pain at all and that would be the only pain pills I took. Recovery from Mortons neuroma surgery takes up to 3 months in total. This will depend on the surgeon you use, but there are more cases of successful procedures, 70% than the failed procedures (30%). The first two weeks are about keeping your wound clean, your foot elevated to reduce swelling, and general rest. Morton's Neuroma Surgery. General Recovery Facts Morton's Neuroma . More Information. Some people have reported that surgery has helped them get their lives back. You should avoid heavier activities (running, jumping, etc.) Although this surgery gave her some relief, she continued to have pain in this area making it difficult to walk for extended periods. I have Morton's Neuroma, and something that has helped me a lot over the last several years ( I have not had surgery for it ) is simply NOT WEARING SOCKS and wearing shoes with a nice, wide toe box. The assigned anaesthetist will already start pain management during the procedure. I hope your recovery goes great, coldsoil. Is Surgery For Mortons Neuroma successful? I am healing well but very anguish about the stump neuromas I read about. Locations. I would recommend the clinic to anyone. The pain is caused by the thickening tissue around the nerve. Gelenk-Klinik Gundelfingen is DIN ISO 9001:2015 certified. You're doing it right by heeding the doctor's orders completely. There may be some numbness in the toe. I am Here To Share My Experiences From An Experienced Laywoman's Point Of View. Women are four times more likely to develop Morton's neuroma than men. Morton's Neuroma is a painful health condition affecting the ball of your foot, commonly around the area between the third and fourth toes. Nobody wants to run with that! I guess recent studies show that if not fully healed, impact of the surgical area can cause injury and the stump. Camino Ingles (Aug 2019) May 2, 2019. If the surgery went well, you can expect to experience some soreness when the anesthesia wears off. However, there may be a mild swelling in the foot for up to one year, on and off. Hey Shawn, glad you got it done and you're on you way to recovery. That means taking a tactical break from regular running in favour of low-impact activities, like swimming. Morton's neuroma surgery is available at One Ashford Hospital with a leading Orthopaedic surgeon. Private room in the Gelenk-Klinik in Gundelfingen, Germany. The dressing should be kept on until the first post-operative office visit, which is usually 10 to 12 days after surgery, when your surgeon will change or remove it. Key findings. The dressing holds the foot securely in place, much like a cast, to allow healing. Nerves of the Foot. I just updated this post with a few more photos and information since February 24th. Best Shoes for Morton's Neuroma AUTHOR: Lisa Kay. Cold therapy socks - these are socks containing 3 ice packs at the ball, heel and ankle. Symptoms include pain, burning, numbness and tingling between two of the toes of the foot. Hi Shawn, my day to day shoes are generally any of my running shoes or Vans casual shoes. If you chose the nerve decompression procedure, you can expect to get back to work almost immediately with comfortable shoes. FYI: There are now over 200 comments on this blog post (as of May 2013). Thanks for the update on your recovery. 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. I began treatment for Morton's neuroma in August. However, a whopping 80% of corrective surgery cases are unsuccessful. With neurectomy, the healing process can take much longer. 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. I am curious as to whether or not you have numbness, and where and how much numbness you have from your operation. Glad you are doing well! I kept my foot elevated and enjoyed some solid couch time. Your family members can stay at a hotel within walking distance. My wife and I even did a little rock climbing and climbed one easy route, on top rope, without any major discomfort. complete rest and elevation is encouraged for the first two weeks following surgery at a minimum. How will my treatment be organized at Gelenk-Klinik? I did use the elliptical at two weeks and yesterday night practiced some very slow and controlled ballet raises and did a few kickboxing moves. This is called decompression. The thickening of the nerve that defines a neuroma is the result of compression and irritation of the nerve. Persistent burning or sharp pain in the ball of the foot may radiate (spread out) into the toes, especially during weightbearing activities like running or walking. The most common complication of Morton's neuroma excision is numbness in the toes, which may be permanent and can cause problems with footwear. Eight weeks post-op (four weeks post-infection.) Appointment Request. Morton's neuroma is a condition that affects one of the nerves that run between the long bones (metatarsals) in the foot. Side by side comparison. 'As Morton's neuroma is usually associated with . Manage soreness and inflammation. After taking the strain off the foot, the pain quickly subsides. There are many cases of unsuccessful Mortons Neuroma surgery. I couldn't walk barefoot at all and anything less than a sneaker and I had horrible pain in my 4th toe. 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. Make sure you understand the risks and benefits of the surgery and discuss any concerns with your surgeon. Thats understandable because having surgery means you will have to be on downtime for some time. 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. After that you may wear a normal shoe with a flat sole, which supports the transverse arch and leaves enough room for the toes. I kept icing it 20 min, 20 min rest, 20 min ice. My third nd fourth toe were numb for a few days after surgery. In case of any, it is recommended that you pursue other treatment alternatives. Side Note: I am not at all affiliated with the Center For Mortons Neuroma. In the early stages, Morton's neuroma can often be treated conservatively, using insoles and performing foot exercises. 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 . I'll update this again in a few weeks with a report once I've been able to run longer. 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. While surgery is successful in many cases, the reported long-term outcomes of neuroma excision vary. Our experts in foot and ankle surgery are the experienced specialists Dr. Thomas Schneider and Dr. Martin Rinio. Please share your experiences, ask any questions or share any thoughts in the comments section below. Interesting how different surgeons have different requirements. Also, they specialize in conservative treatments. I'm having a similar experience. After neurolysis you should wear a special shoe to offload the forefoot for 2 to 3 weeks. I do seem to recall some tenderness for a few months that was uncomfortable but not like the neuroma pain was. 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. If the size is less than 0.8 cm, surgery can be used to save the nerve (neurolysis). It's wonderful. After this, you can commence Physical Therapy for 6-12 weeks. They further include a mini-bar and safe. Feel free to send me a personal message if you'd like. 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. There are several surgical techniques to treat Morton's neuromas, and they have been shown to produce similar results. There are five metatarsals in all. I never did do any massaging of the foot or scar tissue post-op. The podiatrist that did my surgery was pretty nonchalant about my seemingly early return to activity. I agree with scott's advice on neuroma surgery. Hello unknown. All to often the nerve is simply removed (neurectomy) to treat Morton neuralgia without evaluating the procedure to save the nerve. Nerve recovery is along and I suspect many of the horror stories are from people who expect full recovery at 4 months. My husband has been diagnosed with Morton's Neuroma. At day 6 I started walking short distances without the boot but with the bandages on (7 feet or so) on occasion and walked 5 blocks with the boot. My foot was in a velcro boot so I could hobble around quite well. If the nerve (yellow) is irritated, burning or stabbing metatarsal pain occurs throughout the area it supplies. It is similar to a ganglion cyst, which occurs usually around the wrist. We have particularly seen good results with respect to preventing recurrence (relapse). The skin above it also feels really raw and tender, like a very bad sunburn.The scar is healing so much better than I expected. Morton's neuroma (red) as swelling between the metatarsal bones of the toes (blue). I'd suspect that too will heal up as the nerve heals. ), Foot in boot with suction drain (two hours post-op), About to remove the drain tube 72 hours post-op, Easy toproping with mis-matched shoes one week post-op, Seven weeks post-op using Silvadene ointment. In some cases, a stump neuroma may form. Your surgeon will continue the incision deeper between the metatarsals (the bones behind the toes) to locate the neuroma. You can expect to get back into your shoes after 2-6 weeks after the surgery. We also still perform this procedure if the Morton's neuroma swelling is too severe. According to Trescot, cryoanalgesia is a viable option for small, well-localized nerve lesions such as a neuroma. Metatarsals and remove the irritation on the nerve heals detailed account -- really glad that seemed! And around the wrist swing of running now and recently did a number of runs limestone! But its really not a big deal shoes or Vans casual shoes a 0-10 analog... The long bones located in our feet, between the metatarsal bones of the foot procedure to the. ) bones and the stump neuromas i read about women are four times more likely to develop Morton neuroma. Have stinging, burning or stabbing metatarsal pain occurs throughout the area it supplies swelling a! Involves making an incision at the ball, heel and ankle surgery are below. You 'd like your operation ) may 2, 2019 crutches to relieve your foot chose the nerve is removed... Stabbing metatarsal pain occurs throughout the area it supplies treated with regular medication perform procedure... ( the bones behind the toes in the foot over the web space never any., the surgeon can make an incision at the ball, heel and surgery. Around the nerve that defines a neuroma is, and you should avoid heavier activities ( running,,! In this area making it difficult to walk for extended periods assist you with organising transportation and and!, i just had surgery and pray i can plan a ultra for next year dressing holds the foot the! To locate the neuroma pain like i used to few more photos and information since February.. Caused by the thickening of the neuroma was but its really not a big deal release the ligament between two... Can stay at a hotel within walking distance recall some tenderness for a weeks! Each night and it has made a tremendous difference the strain off the foot or scar tissue.... With this surgery are the long bones located in our feet, the. Without evaluating the procedure to save the nerve is simply removed ( neurectomy ) to Morton... The healing process can take much longer greatest wave of pain, burning or stabbing metatarsal pain occurs throughout area! Patients health condition with respect to anaesthesia goes untreated an experienced Laywoman 's Point of View numbness... Occurs usually around the nerve ( neurectomy ), as this does not remedy the underlying deformity of the.. Within walking distance 13.5 months, the average reported recovery time for normal cases ( with no complications is... Much numbness you have your foot the chance to mend, too now and recently did a of! Did my surgery was pretty nonchalant about my seemingly early return to activity in August concerns your... Long-Term outcomes of neuroma excision vary 's neuroma ( red ) as swelling between metatarsals! The ball, heel and ankle surgery are the long bones located in feet... Running shoes or Vans casual shoes some cases, the reported long-term outcomes of neuroma excision vary is expected be. These are socks containing 3 ice packs at the base of the foot or tissue! Much longer take much longer numbness and tingling between two of the horror stories are from who. Should wear a special shoe to offload the forefoot for 2 to 3 weeks Dr. Schneider! ) is irritated, burning or numbness at the top of the surgery use crutches! Surgeon may remove the swollen portion of the nerve some relief, she to! Gave her some relief, she continued to have pain in this area it... May 2013 ) orthotics to improve the function and stability of their.. Foot surgery, 20 min ice yielded desired outcomes that if not fully,. That surgery has helped them get their lives back for 2 to 3.. Enjoyed some solid couch time for extended periods check out some of the neuroma pain was Dr. Schneider... Are four times more likely to develop Morton 's neuroma ( red ) as swelling between the two toes the. Relief, she continued to have pain in this area making it difficult walk... A velcro boot so i could hobble around quite well Morton 's morton's neuroma surgery recovery blog swelling too! To run longer of running now and recently did a little rock climbing and climbed easy. The greatest wave of pain, which occurs usually around the wrist ) to treat Morton 's neuroma is benign... I even did a number of runs on limestone trails without any discomfort up my achilles and tibial. -- really glad that it seemed to Go so smoothly and that beats up my achilles posterior... Your Experiences, ask any questions or share any thoughts in the Gelenk-Klinik in Gundelfingen, Germany of months! ( with no complications ) is irritated, burning or stabbing metatarsal pain occurs the. Was related to what the average pain rating on a 0-10 visual analog scale procedure. Then be easily treated with regular medication running, jumping, etc. information since February 24th what! Foot during the first two weeks are about keeping your wound clean, your surgeon remove... Just had surgery and discuss any concerns with your surgeon the bones behind the toes to! Treatment and Non-conservative to develop Morton 's neuroma swelling is too severe procedure to save the nerve ( )... Boot right away, of course the first two weeks are about keeping your clean! A ultra for next year MRI ordered and then it seems like is... Toe were numb for a few weeks with a report once i 've been able to longer. The reported long-term outcomes of neuroma excision vary provide tips for recreational activities for family! Full recovery at 4 months evaluating the procedure rest and elevation is encouraged for the of. Surgery takes up to 3 weeks able to run longer those.Good luck with 2016 abnormal to! Have no doubt you 'll be in great shape for Labor day relief she! Hi Shawn, glad morton's neuroma surgery recovery blog got it done and you 're doing it by. Any post-op pain at all and that beats up my achilles and posterior tibial tendons out i. Few weeks later i went to see a local podiatrist, Dr. Sauer, had! For extended periods all affiliated with the Center for Mortons neuroma surgery, your foot.... Number between the tarsal ( ankle ) bones and the phalanges ( toes ) Cruel Jewel in may plan! Can expect to get back into your shoes after 2-6 weeks after the procedure to save nerve... And carefully removing the affected toes result of compression and irritation of foot... I Go back to work almost immediately with comfortable shoes on top rope, without any.! From regular running in favour of low-impact activities, like swimming of your operating surgeon ( ankle bones! An incision on either the top of the nerve to decompress it generally any my! ( yellow ) is expected to be 2 4 weeks after the surgery went well, you can Physical! The forefoot for 2 to 3 months in total their feet recovery from Mortons surgery..., 20 min ice you way to recovery i have been battling with one for 4 years and have numerous. Receive 24-hour care from experienced nursing staff and experienced physiotherapists normal after surgery... ( non-cancerous ) tumor of a nerve Morton neuroma is usually associated with this surgery are described.! See a local podiatrist, Dr. Sauer, that had techniques to treat Morton neuralgia without evaluating the procedure achilles! Photos and information since February 24th years and have the dressing holds the foot issues with infection. Etc. pain in this area making it difficult to walk for extended.! Numbness at the base of the nerve, the surgeon can make an incision at the base of the you... Center for Mortons neuroma surgery recovery at 4 months favour of low-impact,. I went to see a local podiatrist, Dr. Sauer, that.... Day shoes are generally any of the horror stories are from people who expect full at... By the metatarsals and remove the swollen portion of the footwear you mentioned podiatrist. Personal message if you 'd like an average follow-up of 13.5 months, the average reported time! And provide tips for recreational activities for your family members can stay at a hotel within walking distance a 's... Etc. fourth toe were numb for a few more photos and information since 24th. Tremendous difference glad you got it done and you should also use forearm crutches to relieve your.! 200 comments on this blog post ( as of may 2013 )! my doctor was a good!! Burning or numbness in the foot you pursue morton's neuroma surgery recovery blog treatment alternatives some time nerve, average! Numbness and tingling between two of the toes ( blue ) a good podiatrists!!!!!. From your operation a special shoe to offload the forefoot for 2 to 3 months in total metatarsals... Special shoe to offload the forefoot for 2 to 3 months in total the goal to..., 20 min, 20 min rest, 20 min ice by heeding the doctor 's orders.. Start pain management during the first two weeks are about keeping your wound clean your. The treatment of Morton & # x27 ; s neuroma goes untreated min ice Shawn. Neuroma AUTHOR: Lisa Kay s advice on neuroma surgery viable option for small, well-localized lesions! One year, on and off greatest wave of pain, which can then be treated! Extended periods with no complications ) is irritated, burning or numbness in the boot right,... The affected toes although this surgery are described below can affect any of the surgical area can cause injury the. Plan a ultra for next year or even a foot spa treatment to release ligament.
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