I'm writing this to help others who are facing surgery to correct Morton's Neuroma and to describe my recovery process and progress. 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). There are five metatarsals in all. - 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. However, it most often affects the nerves that run between the third and fourth or between the second and third toes. 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. Immediately after surgery you should elevate and ice your foot to minimise pain and swelling. The first two weeks are about keeping your wound clean, your foot elevated to reduce swelling, and general rest. Hi everyone. My scar is already barely perceptible and I can walk and exercise normally. (774) 421-9144. . D-79194 Gundelfingen Every procedure causes pain. Recovery time post-surgery will differ from person to person depending on a number of factors such as age, nutrition, and other medical conditions. 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. I went off pain meds day 3. Ease into walking but plan on crutches and no impact (jumping, running, leg press) for 2 months. Best wishes! How is Morton's neuroma surgery performed at Gelenk-Klinik? 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. 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. Need doctor i trust. care@joint-surgeon.com, Dr. med. Other types of procedures for Mortons neuroma include: You will be given a prescription for a pain medication, such as acetaminophen. All material on this website is protected by copyright. To remove a neuroma, a small incision is made in the web space between the two affected toes. You will also be using a special shoe to offload the forefoot for 2 to 3 weeks. When Can I Go Back To Work After Mortons Neuroma Surgery? . There may be some numbness in the toe. Copyright 1995-2021 by the American Academy of Orthopaedic Surgeons. I'll update this again in a few weeks with a report once I've been able to run longer. Last week, a friend of mine was telling me that she had her Neurectomy 4 months ago (Early June 2019). Athletic activities can be resumed after 8 weeks. The Pros and Cons of Neuroma Surgery | Family Foot & Ankle. This procedure will not cause any residual numbness in the toes. You're doing it right by heeding the doctor's orders completely. Thanks for sharing your story! What Are The Best Workout Routines For Mortons Neuroma? Cold therapy socks - these are socks containing 3 ice packs at the ball, heel and ankle. We will ensure you receive the aids required after surgery. Thats understandable because having surgery means you will have to be on downtime for some time. Remember, Im not a Doctor. The swelling is usually the worst between . Sprinters may feel pain as they push off from the starting block. The first two weeks are about keeping your wound clean, your foot elevated to reduce swelling, and general rest. The foot can bear full weight again about 3 to 6 weeks after neurolysis. Reading these posts has really made ne feel much better about the surgery - thanks very much!! If Morton's neuroma swelling is too severe, the nerve will need to be removed (neurectomy). carpal tunnel syndrome), decompressing the nerve is therefore an appropriate treatment strategy. Nerves of the Foot. I was able to lead climb and not worry about my foot much. 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. Toll-Free: 888-689-3317. using Heparin/Enoxaparin) is therefore vital. 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. The non-conservative options such as surgery are meant to remove the damaged nerve . 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. joint-surgeon, The foot viewed from the sole: In this case, Morton's neuroma is located between the 2nd and 3rd toe. (70), United States, knee patient:"A five-star medical experience", Mr. L. H. (59), Sweden, knee patient: "This was topclass treatment. In many cases the anaesthetist uses a so-called nerve block during surgery, which keeps the respective foot pain free for approx. Protocols differ, and you should follow the specific instructions of your operating surgeon. 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). I live in dallas. Recovery Time After Morton's Neuroma Surgery. This causes the typical symptoms such as numbness, shooting pain, and tingling. 2. Arabic) at any time, at the patients expense. Since the surgery I am able to walk barefoot again. You should seek evaluation from an orthopaedic surgeon if you have continued pain or discomfort in your forefoot. A Morton's neuroma is when a nerve in the ball of your foot becomes irritated and enlarged. So patients are also able to travel again. Gelenk Klinik Orthopaedic Now i have to say when i took them off in the morning my toes hieted a bit. What happens if Morton's neuroma goes untreated? You should see a foot specialist or your primary care doctor for any type of foot pain that lingers more than a few days. My husband has been diagnosed with Morton's Neuroma. If the size is less than 0.8 cm, surgery can be used to save the nerve (neurolysis). from the American Academy of Orthopaedic Surgeons, The forefoot (front part of the foot) has 14, The areas between the bases of the metatarsals, known as, The nerves that give sensation to part of your toes are called the, The nerve branches in the forefoot at the level of the web space are called, In the web space, the rounded ends of the metatarsal bones are connected to each other by ligaments called. Mostly I'm stoked on Saucony Peregrines. All to often the nerve is simply removed (neurectomy) to treat Morton neuralgia without evaluating the procedure to save the nerve. I am Here To Share My Experiences From An Experienced Laywoman's Point Of View. If you plan to have outpatient physiotherapy after surgery, we will gladly provide an estimate of costs. However, the average reported recovery time for normal cases (with no complications) is expected to be 2 - 4 weeks. But then theres this nagging question about Mortons Neuroma surgery recovery time. Over an average follow-up of 13.5 months, the average pain rating on a 0-10 visual analog scale . Best Shoes for Morton's Neuroma AUTHOR: Lisa Kay. This will prevent dangerous blood clots from forming. morton's neuroma surgery recovery mortons neuroma Neuroma on toes 1 & 2 Morton Neuroma surgery question botox for morton neuroma 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. ThanksShawn. The most common symptom is pain or discomfort in the ball of the foot (the area between the arches and toes on the bottom of the foot). But even men primarily runners training a lot can develop it. I feel your pain, Shawn. The afternoon and night of the surgery I took two Percocet pills thinking my foot should start hurting and I wanted to "stay ahead of the pain." Symptoms of Morton's Neuroma usually consist of pain, tingling, numbness and burning sensations. 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. A welcomed change that has alleviated so many problems and no surgery!! Nerve sclerosis with alcohol injectionsno help whatsoever. Those types of trails would typically have caused me foot pain but not anymore. 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. The motion of the toes may be limited while swelling persists. Camino Frances 2018, 2021. 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. Make sure you understand the risks and benefits of the surgery and discuss any concerns with your surgeon. Morton's Neuroma Surgery. The inpatient stay following the procedure is typically 3 days. Thanks so much for this information. Theyre certified foot and ankle surgeons whose continuing education, diagnostics and surgical quality is reviewed annually by an independent German professional society (DAF). I agree with scott's advice on neuroma surgery. Your email address will not be published. Compression of the nerve in the web space may trigger swelling and cause abnormal tissue to form in and around the nerve. This means: You will be in the care of your treating physician from the initial examination until after surgery. Morton's metatarsalgia, a condition where a nerve in the foot becomes irritated and extremely painful, you may need Morton's neuroma surgery. 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. This can cause a sharp, burning pain in the ball of your foot. Contact. The metatarsal bones are located . Morton's neuroma involves a thickening of the tissue around one of the nerves leading to your toes. I did a short 3 mile run. Both procedures take about 30 minutes. ISSN 1941-6806 doi: 10.3827/faoj.2018.1202.0005. 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. Right at two weeks post-op my right ankle started feeling super painful and was swollen a good bit. These typically fade as you progress through your recovery. I Write About Morton's Neuroma Because I Have Been Living With This Condition Since 2008. 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