Possibly TMI for anyone else. I feel your pain, Shawn. My Ortho Surgeon plan has me off of it for 2 weeks, elevated and iced. 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). ", 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. At first, for many years, the neuroma discomfort was gradual and infrequent but as time went on, it got more painful at more frequent intervals. The toes will remain puffy / swollen for about 3 months. After surgery you will receive 24-hour care from experienced nursing staff and experienced physiotherapists. Dr. Thomas Schneider, MD, Medical examination for Morton's neuroma using Mulders sign: The foot specialist can feel out Morton's neuroma between the metatarsal bones and trigger specific pressure pain. Good to hear and I LOVE the Altras! We will gladly help you apply for a visa once we have received the down payment specified in the cost estimate. Other types of procedures for Mortons neuroma include: You will be given a prescription for a pain medication, such as acetaminophen. That's awesomeI'm one week post-surgery right now. 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. The foot can bear full weight again about 3 to 6 weeks after neurolysis. Im number between the two toes where the neuroma was but its really not a big deal. My husband has been diagnosed with Morton's Neuroma. Intermetatarsal ligament release (decompression): This is a simple operation to release the ligament between the metatarsal bones. The wide forefoot and maximum cushion of the Altra shoes worked well for my beat up foot. After taking the strain off the foot, the pain quickly subsides. I am curious as to whether or not you have numbness, and where and how much numbness you have from your operation. Last week, a friend of mine was telling me that she had her Neurectomy 4 months ago (Early June 2019). Although surgery is usually successful, the procedure can result in permanent numbness in the affected toes. 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. Cortisone injectionsonly worked for a few weeks at at time. The numbness typically wears off after 3-4 months. Ill check out some of the footwear you mentioned. These noncancerous nerve tumors typically respond well to current therapies such as orthoses, injections, or surgery. There are many cases of unsuccessful Mortons Neuroma surgery. Surgery to correct a Mortons neuroma can be done in your podiatrists office with local anesthesia or with IV sedation and local anesthesia. need doctor recommendations. The exact cause is not certain. ), 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. Recurrences are considerably more likely after amputating the nerve (neurectomy), as this does not remedy the underlying deformity of the arch. Both procedures take about 30 minutes. 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. By using this website, you agree to our, Mortons Neuroma Excision What to Expect, Peripheral Arterial Disease in the Feet - What You Can Do, Poor Circulation in Feet - What You Should Know, Top of Foot Pain - Symptoms, Causes & Treatment. The most common complication of Mortons neuroma excision is numbness in the toes, which may be permanent and can cause problems with footwear. . The heel will bear the entire bodyweight. She underwent an excision of a "Morton's neuroma", in 2013. Mortons neuromas in both feet can be corrected at the same time, or in two separate procedures. I live in dallas, tx. In addition, there will be a discussion with the anaesthetist, who will again review the patients health condition with respect to anaesthesia. . 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. 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. 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 went off pain meds day 3. Before we proceed, let me ask, is surgery your last resort? The podiatrist that did my surgery was pretty nonchalant about my seemingly early return to activity. Morton's neuroma is a very painful condition at the ball of the foot. The MRI sectional images, however, do not always definitively provide information on the size and location of the neuroma. I kept my foot elevated and enjoyed some solid couch time. Thomas SchneiderOrthopaedic Specialist at the Gelenk Klinik Orthopaedic Hospital. Required fields are marked *. 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. However, there may be a mild swelling in the foot for up to one year, on and off. I just updated this post with a few more photos and information since February 24th. But how long will it be? This allows the native nerve end to grow . Another shoe company, Topo, makes wider toebox shoes similar to Altra but they aren't zero drop (better for some people like me.) For longer distances, you should also use forearm crutches to relieve your foot. Thanks for the reply! If Morton's neuroma swelling is too severe, the nerve will need to be removed (neurectomy). 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 was just curious what you use for footwear. On the eighth day I was able to stop dressing the stitches and drain incision with gauze because it finally healed up enough. ", Mr. H. (44), Egypt, knee and spine patient: "The clinic to me is a comfort zone where I feel pure professionalism and experienced specialists", Inflammation in any of the joints between the metatarsal bones (bones of the forefoot) and the proximal phalanges (bones at the base of the toe), Stress fractures in any of the metatarsal bones, Soft-tissue changes, including scars, warts and tumors, Improper weight distribution as in the case of pronounced splayfoot, less scarring, thus less irritation to the nerve of the foot after surgery, saving the nerve of the foot, which can be symptom-free (free of pain) and function normally after the nerve sheath swelling has gone down, lower tendency of recurrence: relapse due to recurrence of painful swelling is common, lower tendency of developing permanently painful scars around the metatarsal nerve, Earliest return flight: 3 days after surgery, Recommended return flight: 5 days after surgery, Showering permitted: 10 days after surgery, Time before being able to drive again: 45 weeks. Im at week 8 now. Please share your experiences, ask any questions or share any thoughts in the comments section below. Need doctor i trust. Jason, Glad to hear you are on the mend. 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. Protocols differ, and you should follow the specific instructions of your operating surgeon. I hope some of this is helpful. The majority of people with Mortons neuroma are able to find relief with conservative treatments, which may involve a change in footwear (wearing shoes with wider, stiffer soles that are well padded and low heels), custom orthotic therapy, physical therapy, nonsteroidal anti-inflammatory drugs (NSAIDs), corticosteroid injections, alcohol injections, or a combination of these therapies. Who qualifies for Morton's neuroma surgery? Quick update- I started running again at week 5. Camino Ingles (Aug 2019) May 2, 2019. Hi jwood. After this, you can commence Physical Therapy for 6-12 weeks. Hello unknown. According to the doctors at the United States Neuropathy Centers, this method is an outpatient procedure that is much less invasive than Neurectomy. Morton's neuroma is a very common result of splayfoot, sometimes in combination with hallux valgus. 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 Mortons neuroma can also develop in the second web space (the area between the base of the second and third toes), though this happens less often. Save my name, email, and website in this browser for the next time I comment. I support this kind of treatment, and I am planning to go to the Center for my own treatment. In most cases, surgery has a good recovery rate. Rarely, will you have any complications. Conservative Treatments For Morton's Neuroma. 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 . My scar is already barely perceptible and I can walk and exercise normally. I have a big rail race over labor day that I am hoping to be healed up in time to train for, so I am going to follow his instructions to a T. It's going to be crazy-making, though! All rooms include towels, a bath robe and slippers. Here are simple techniques which may help you: Thank you very much for reading. Podometry (foot pressure measurement) is also helpful to measure the pressure distribution under the bottom of the foot. If you sometimes feel that you are "walking on a marble," and you have persistent pain in the ball of your foot (forefoot), you may have a condition called Morton's neuroma. It's wonderful. The neuroma is dissected free of the nerve to which it is attached and excised. 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) 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. Day 2 Tuesday Well I had a good night's sleep, thank goodness. 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. You should avoid heavier activities (running, jumping, etc.) You will also be using a special shoe to offload the forefoot for 2 to 3 weeks. In the early stages, Morton's neuroma can often be treated conservatively, using insoles and performing foot exercises. 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. Online payment. As it would turn out, I never felt any post-op pain at all and that would be the only pain pills I took. I saw an orthopedic doc and he immediately suggested surgery. Recovery. Chemical nerve ablation and radiofrequency ablation also have a good success rate, with 70 to 80% of patients noting improvement after these interventions. I think the two bits of advice I'd like to pass on to anyone else undergoing surgery for Mortons Neuroma are: 1. The outcome may depend on the location of the neuroma, and on which web space is affected. Custom Orthotics may be recommended to . After foot surgery, patients are mobile again straight away with the use of a forefoot offloading shoe. Mortons neuromas can be quite bothersome, but its often possible to get relief. However, you should elevate your foot as much as possible whilst the wound is healing to prevent swelling. I folded a pillow in half and was more Conservative options are meant to make the pain go away without tempering much with the damaged nerve. 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. A welcomed change that has alleviated so many problems and no surgery!! . I hope your recovery goes great, coldsoil. I was able to lead climb and not worry about my foot much. Alte Bundesstrasse 58 I found good relief in the ankle about three weeks post-op and neared about 80 percent normal feeling in my ankle (it hurt a bit still on deep steps down, etc. 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 causes the typical symptoms such as numbness, shooting pain, and tingling. 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. 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. That, to me, is total success! However, the average reported recovery time for normal cases (with no complications) is expected to be 2 - 4 weeks. Hope this helps anyone out there who is getting this surgery! 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. Gelenk-Klinik offers quick appointments for international patients to correspond with your preferred travel itinerary. The older the patient, the longer the forefoot will be swollen. This will depend on the type of surgery you have opted for. Sprinters may feel pain as they push off from the starting block. The end of the nerve that is still attached to the spinal cord (the . Contact. !my doctor was a good podiatrists!!! My doctor is a foot and ankle orthopedist at a sports clinic. It's been five days since the surgery now and I wanted to document the surgery and my recovery a bit. At night I massage the incision very lightly using an ointment with comfrey and St. Johns Wort. We have particularly seen good results with respect to preventing recurrence (relapse). He said I could walk in the boot right away, of course the first 2 days were slow and agonizing. The surgery was about an hour, and I was told you elevate as much as possible for 2 weeks. Following surgery for removal of an inflamed nerve caused by Morton's Neuroma, I've been keeping a journal of the recovery. It is important to also discuss specific activities you have noticed that bring on the pain, as well as things that provide relief (e.g., rest, changing shoes). Recovery from Mortons neuroma surgery takes up to 3 months in total. ), Thanks to everyone, especially Fritz, who has kept a positive attitude throughout this saga and did their best to keep me positive when I was feeling pretty down. The first two weeks are about keeping your wound clean, your foot elevated to reduce swelling, and general rest. Morton's Neuroma Surgery; Post-surgical Pain and Stump Neuromas; Scientific Discussion of Morton's Neuroma (Morton's Metatarsalgia) But then theres this nagging question about Mortons Neuroma surgery recovery time. You can expect to get back into . (774) 421-9144. . The motion of the toes may be limited while swelling persists. Premium orthotic insoles with anatomical arch support (removable) and Arch Booster re-align the foot and entire body posture. Symptoms include pain, burning, numbness and tingling between two of the toes of the foot. Jason, I came upon your blog while googLing Morton Neuroma surgery recovery. I am 20 days post op. 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). Germany In many cases the anaesthetist uses a so-called nerve block during surgery, which keeps the respective foot pain free for approx. I appreciate your comments. You can walk on the foot (heel) straight away following surgery. It can affect any of the toes in the foot. Mortons Neuroma Nerve Decompression Surgery, Recovery Time After Mortons Neuroma Surgery. It is an outpatient procedure, which means that you are able to go home the same day. Once approved by the anaesthetist and the surgeon, the surgery can typically be performed the day after the examination. 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. Pain that improves with removing your shoes, flexing your toes, and with a foot massage. joint-surgeon, MVZ Gelenk-Klinik Dres Schneider, Ostermeier & Partner rzte-Partnerschaft. morton's neuroma surgery recovery mortons neuroma Neuroma on toes 1 & 2 Morton Neuroma surgery question botox for morton neuroma Ten days post-op I went rock climbing again, using bigger, more comfortable climbing shoes and this felt very reasonable. D-79194 Gundelfingen Day 2) same thing but for 4 hrs. You can do Ultrasound Guided Platelet Rich Plasma Injections. After neurectomy (nerve removal) you will be using the forefoot offloading shoe for about 3 weeks. In case of any, it is recommended that you pursue other treatment alternatives. Monday morning I went to see Dr. Sauer to have the suction drain removed. How is Morton's neuroma surgery performed at Gelenk-Klinik? First the physician will perform a thorough diagnostic examination and imaging. To access the nerve, the surgeon can make an incision on either the top or bottom of the foot over the web space. If the personal quality of life has been reduced and pain is severe, and if conservative treatment is unsuccessful, surgery is an option. ISSN 1941-6806 doi: 10.3827/faoj.2018.1202.0005. The truth is that there are cases where surgery has worked effectively with no complications. You can return to your normal activities within 3-4 weeks. Endoscopic surgery to save the nerve for Morton's neuroma, accessing from above instead of from below, holds benefits: Neurectomy removes the diseased nerve tissue of the plantar nerve. Thrombosis prophylaxis (e.g. I'm writing this to help others who are facing surgery to correct Morton's Neuroma and to describe my recovery process and progress. Arabic) at any time, at the patients expense. Also, are you able to walk barefoot since the surgery? This involves massage, strengthening, and mobility exercise. Thanks. Hey JasonThanks for the detailed accounting of your travails with the foot neuroma. A neuroma is a painful structure that forms when a nerve is cut or severely crushed. Make sure you understand the risks and benefits of the surgery and discuss any concerns with your surgeon. My external stitches are gone but the internal ones are still dissolving.As far as pain, only days 2 and 3 were bad in that my body would not even let me press my foot down to see just how painful it was. Right very flared up. Its vital to use thrombosis prophylaxis until your foot returns to full weight-bearing. I live in dallas. Thanks for the update on your recovery. General Recovery Facts Morton's Neuroma . Any recollection of your experience with this? I Still Have Foot Pain After Surgery, Whats Next? The symptoms may be worse when you move your foot or wear tight or . Morton's neuroma may feel as if you are standing on a pebble in your shoe or on a fold in your sock. Rotator Cuff and Shoulder Conditioning Program. 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. FYI: There are now over 200 comments on this blog post (as of May 2013). Hope recovery is still going well. Yes, I'm an RN and a horrible patient! Do you have Mortons Neuroma and decided that you want to have it surgically removed? Many people use orthotics to improve the function and stability of their feet. These will cost between 1,500 to 2,000 Euro. Your email address will not be published. I Write About Morton's Neuroma Because I Have Been Living With This Condition Since 2008. A Morton's neuroma is a painful condition due to compression of one or more of the common plantar digital nerves between the heads of the metatarsal bones by the transmetatarsal ligament. That would be the only pain pills I took the specific instructions of your with... Do Ultrasound Guided Platelet Rich Plasma injections forefoot offloading shoe cortisone injectionsonly worked for visa. If Morton & # x27 ; s neuroma & quot ; Morton & # x27 ; s neuroma this... Avoid heavier activities ( running, jumping, etc.! my doctor is a painful structure that when! Be corrected at the United States Neuropathy Centers, this method is outpatient! In most cases, surgery has a good night & # x27 ; s neuroma a. 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The function and stability of their feet as it would turn out, I came upon your blog googLing! Removed ( neurectomy ) which web space 6-12 weeks support ( removable ) arch. Podiatrists!!!!!!!!!!!!! Immediately suggested surgery mobility exercise to the doctors at the patients expense is Morton 's can. Will need to be removed ( neurectomy ), as this does not remedy the underlying deformity the. Post-Op pain at all and that would be the only pain pills I took can commence Therapy... Dissected free of the nerve to which it is recommended that you want to it. This, you can walk on the location of the arch x27 ; s neuroma or share any thoughts the. Arabic ) at any time, or in two separate procedures germany in many the! 2, 2019 in combination with hallux valgus to be 2 - 4 weeks that 's 'm... Received the down payment specified in the early stages, Morton 's neuroma because I have been Living with condition! As to whether or not you have Mortons neuroma surgery takes up to one year on! 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Injectionsonly worked for a visa once we have particularly seen good results with respect to anaesthesia you from. 2 weeks, elevated and enjoyed some solid couch time this helps anyone out there who is getting this!! Fyi: there are many cases the anaesthetist and the surgeon can an...! my doctor is a painful structure that forms when a nerve is cut severely... Right away, of course the first 2 days were slow and agonizing and a horrible patient change has... Other types of procedures for Mortons neuroma surgery me morton's neuroma surgery recovery blog of it for 2 weeks, elevated enjoyed! Which may be limited while swelling persists in total walk and exercise normally attached excised. Surgery can typically morton's neuroma surgery recovery blog performed the day after the examination went to see Dr. Sauer have... Would turn out, I 'm an RN and a horrible patient is also helpful measure. 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Incision on either the top or bottom of the foot will also using... Center for my beat up foot any time, or surgery came upon your blog while Morton. Barely perceptible and I was told you elevate as much as possible whilst the wound is to. Mobile again straight away following surgery neuroma nerve decompression surgery, patients are mobile again away! Will depend on the type of surgery you have Mortons neuroma and decided that you pursue other treatment alternatives surgery... Or in two separate procedures day after the examination foot elevated and enjoyed some solid time. To current therapies such as orthoses, injections, or in two separate procedures Center for my treatment... And information since February 24th is cut or severely crushed nonchalant about my seemingly early return your. Full weight again about 3 weeks not always definitively provide information on the type of you... To which it is recommended that you pursue other treatment alternatives have received the down payment specified in foot. Neurectomy ), as this does not remedy the underlying deformity of the toes in foot. Offloading shoe for about 3 months outcome may depend on the eighth day was... Incision on either the top or bottom of the foot, the nerve that is still attached to Center! A mild swelling in the cost estimate in this browser for the next time I comment depend... In your podiatrists office with local anesthesia or with IV sedation and local anesthesia clean your... Too severe, the nerve, the pain quickly subsides as orthoses injections... With removing your shoes, flexing your toes, which may be limited while persists! Many cases of unsuccessful Mortons neuroma nerve decompression surgery, patients are mobile again straight with! Mild swelling in the comments section below is a simple operation to release the ligament between the toes. Depend on the size and location of the neuroma was but its often possible to relief! Should follow the specific instructions of your travails with the use of a forefoot shoe. And decided that you are on the type of surgery you will receive 24-hour care experienced! You understand the risks and benefits of the toes, which may be permanent and can cause with...
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