I've run the past three days in a row and it's been pain free. I started running in Altras a few months ago and I'm looking forward to many more miles in them. A welcomed change that has alleviated so many problems and no surgery!! Key findings. As far as surgery goes, this one seems quite minor and I'm glad to be healing so quickly as there's snow to be slid! I would think a local podiatrist would be able to help you though, especially in a large market like Dallas. 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. Morton's neuroma Blog provides many treatment options for Morton's neuroma. Athletic activities can be resumed after 8 weeks. Morton's neuroma pain is a sign that the digital nerve is in distress. Protocols differ, and you should follow the specific instructions of your operating surgeon. For many nerve compression syndromes (e.g. Our goal is for you to experience as little pain as possible after surgery. This causes pain and discomfort in the ball of the foot. Dr. Sauer placed a "suction drain" in the incision area to help drain excess fluid and keep swelling to a minimum. - 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. These signs of inflammation are reversible to a certain extent if the mechanical pressure on the nerve is eliminated. I kept icing it 20 min, 20 min rest, 20 min ice. My Ortho Surgeon plan has me off of it for 2 weeks, elevated and iced. 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 the surgery went well, you can expect to experience some soreness when the anesthesia wears off. Treating Morton's neuroma by injection, neurolysis, or neurectomy: A systematic review and meta-analysis of pain and satisfaction outcomes. After that it was a bit difficult and slow but not excruciating. We open the band of connective tissue over the metatarsal head to permanently eliminate pressure on the nerve. This will depend on the surgeon you use, but there are more cases of successful procedures, 70% than the failed procedures (30%). 30 hours. 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 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. 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. 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. Another shoe company, Topo, makes wider toebox shoes similar to Altra but they aren't zero drop (better for some people like me.) Ten days post-op I went rock climbing again, using bigger, more comfortable climbing shoes and this felt very reasonable. It is reported that this pain may be difficult to locate. The irritation of the nerve causes the connective tissue surrounding the foot nerve to swell, scar tissue develops and fluid build. Hello unknown. FYI: There are now over 200 comments on this blog post (as of May 2013). Maybe even snow sports now? I wanted to make this thread to chronicle my recovery from Morton's Neuroma surgery. Thanks for the reply Jason! When someone clicks and buys through my Affiliate links I earn a little percentage of the income which enables me to maintain this website. 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). It is not all bad news about Mortons Neuroma surgery. Initial management of a Mortons neuroma typically involves one or more of the following: Studies have shown that many people can achieve lasting relief with a combination of shoe wear modifications, orthoses, anti-inflammatory medications (e.g., ibuprofen or naproxen), and/or corticosteroid injections. Cortisone injectionsonly worked for a few weeks at at time. 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." Quote Reply. If you chose the nerve decompression procedure, you can expect to get back to work almost immediately with comfortable shoes. The patient is fully conscious during surgery. The anaesthetists at Gelenk-Klinik are very experienced in both methods and will choose the option best for the patient and their circumstances based during a pre-operation discussion. ", 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. 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. Custom Orthotics may be recommended to . Thrombosis prophylaxis (e.g. If the visa is denied, we will promptly refund the full down payment by remittance. Find out what Morton's neuroma surgery involves, including recovery and long-term impact. Same thing with icing. In addition to the cost of surgery, you will also need to plan for additional costs for diagnostics, physicians appointments and aids (e.g. 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 was diagnosed with a condition called "Morton's Neuroma" that wreaked havoc on my mobility for the better part of 2010. I'd suspect that too will heal up as the nerve heals. This can cause numbness, tingling, or pain similar to what you had before the surgery. After this, you can commence Physical Therapy for 6-12 weeks. I Write About Morton's Neuroma Because I Have Been Living With This Condition Since 2008. Hey Shawn, glad you got it done and you're on you way to recovery. Keywords: Morton's neuroma, MOXFQ, dorsal approach. This procedure will not cause any residual numbness in the toes. Quick update- I started running again at week 5. I've had no post-op numbness at all,thankfully. Required fields are marked *. Willtravel. 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. Approximately 5 to 20% of patients may have symptoms return and need additional treatment. The assigned anaesthetist will already start pain management during the procedure. These will cost between 1,500 to 2,000 Euro. Swelling is a normal symptom of the neuroma as well. Follow your surgeons instructions regarding preparation for surgery. I haven't felt, nor thought of, the neuroma so I consider that a huge success. Normally, there are no outward signs of a Morton's neuroma, such as a lump or skin discoloration. Pain with standing or walking. I blame the plutonium and the government. Find out when to see your doctor, and much more. In most cases, surgery has a good recovery rate. I do use the SOLE after market insoles for a bit of arch support. During your inpatient stay at Gelenk-Klinik you will have a single-occupancy room. Other types of procedures for Mortons neuroma include: You will be given a prescription for a pain medication, such as acetaminophen. Tight, narrow shoes also aggravate this condition by compressing the toe bones and pinching the nerve. The heel will bear the entire bodyweight. You can walk on the foot (heel) straight away following surgery. Thank you! Jason, Glad to hear you are on the mend. 2. Appointment Request. Your podiatrist may discuss surgical treatment options with you if your symptoms have persisted or worsened after trying multiple conservative treatments. It was done on a National Level Karate played for severe pain in his foot. Tingling or numbness at the base of the 2nd-3rd or 3rd-4th toes. Something weird's going around town, though, what with all the foot injuries/repairs. The pain from a stump neuroma is often of a much greater intensity than a Morton's neuroma, and is often present at rest as well as weight . I support this kind of treatment, and I am planning to go to the Center for my own treatment. This information is provided as an educational service and is not intended to serve as medical advice. 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. However, we also offer spinal anaesthesia to avoid general anaesthesia if the patient so desires. You will further receive physiotherapy and lymphatic drainage to prevent muscle loss and minimise swelling of the forefoot. Women are four times more likely to develop Morton's neuroma than men. 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. Most questions have already been asked and answered. Also, they specialize in conservative treatments. RE Musson, "Ultrasound guided alcohol ablation of Morton's neuroma," Foot & Ankle International, 33(3) (Mar 2012): 196-201. Orthoticsincremental help. The pain in the ball of your foot is relieved by rest. I am 20 days post op. Those types of trails would typically have caused me foot pain but not anymore. Hooray! So patients are also able to travel again. Although surgery is usually successful, the procedure can result in permanent numbness in the affected toes. Im at week 8 now. Best wishes! Jason, I came upon your blog while googLing Morton Neuroma surgery recovery. Limit your physical activities to those that place minimal pressure on your feet. This involves massage, strengthening, and mobility exercise. If Morton's neuroma swelling is too severe, the nerve will need to be removed (neurectomy). The non-conservative options such as surgery are meant to remove the damaged nerve . The exact cause is not certain. 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. Skip to content +44 (0) 20 7046 8000 . Morton's Neuroma Surgery; Post-surgical Pain and Stump Neuromas; Scientific Discussion of Morton's Neuroma (Morton's Metatarsalgia) You will also be using a special shoe to offload the forefoot for 2 to 3 weeks. It is similar to a ganglion cyst, which occurs usually around the wrist. 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. However, its more common between the 3rd and 4th toe. Curious how your foot is doing now, a year later? Some people choose to have corrective/ revision surgery because the post-surgery pain is actually worse than the pre-surgery pain. All rights reserved. Mortons neuromas in both feet can be corrected at the same time, or in two separate procedures. He said I could walk in the boot right away, of course the first 2 days were slow and agonizing. Problems with shoe wear are common. I hope you find relief and if you go the surgery route, keep the incision area clean (unlike I did!) Thanks for the reply! 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. In fact, I think climbing is good therapy because the weight is mostly on my big toe and each step is very calculated. 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. 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. All material on this website is protected by copyright. Thanks for your reply. 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. You can do Ultrasound Guided Platelet Rich Plasma Injections. You should seek evaluation from an orthopaedic surgeon if you have continued pain or discomfort in your forefoot. Gelenk-Klinik offers quick appointments for international patients to correspond with your preferred travel itinerary. Please stay up to date with www.joint-surgeon.com: Follow on Facebook, Twitter, linkedin, Instagram, Dr. Thomas SchneiderOrthopedic Specialist, Foot and Ankle Surgery, Dr. Martin Rinio, MD, Orthopedist,Ankle-Surgeon and Trauma Surgeon, Certified Centre for Arthroplasty (Centre for Endoprosthesis), Orthopaedic Gelenk-Klinik is certified Centre for Endoprosthesis (EPZ). After neurolysis you should wear a special shoe to offload the forefoot for 2 to 3 weeks. Go to navigation Go to content. I moved out of the zero drop shoes into more normal shoes and forced myself to walk normally as much as possible in addition to doing some PT exercises to stretch and work the tendons in my ankle. This thickening can lead to various levels of pain or discomfort in the forefoot that may limit your ability to perform certain activities. Complete recovery typically takes three to six weeks. Although this surgery gave her some relief, she continued to have pain in this area making it difficult to walk for extended periods. Some people may also have tingling or numbness in their foot. This website also contains material copyrighted by third parties. Long recovery. 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). Diagnosis and preparing for Morton's neuroma surgery. Marbethrichmond, the podiatrist I worked with has retired. Left untreated, this neuroma can lead to permanent tingling or numbness in the foot. Private room in the Gelenk-Klinik in Gundelfingen, Germany. ), 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. Recovery is complete in 2 months in 50% of individuals, but may take up to a . HELP! Possibly squeezing your foot to check for a click between your toes called a Mulders click that is sometimes present with a Mortons neuroma. 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. 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. Putting pressure on the spaces between the toes to try to pinpoint the specific site of the pain. Even after successful surgical treatment, it is possible for a Mortons neuroma to come back. That combination and avoiding many of the poorly designed shoes out there has really helped. Contact on 01233 423000 to find out more . Your email address will not be published. Scheduling your appointment for foot surgery in Germany, "Centre for foot and ankle surgery" (ZFS), Mr. C. B. The underside of my foot still gets intense electric type feelings if I touch it but not when I walk, jump or run.The numbness is strange only if I touch the area between the toes. I am planning to go to the Center for my own treatment have been Living with this Condition Since.... Min, 20 min, 20 min, 20 min, 20 min, 20 ice... Something weird 's going around town, though, what morton's neuroma surgery recovery blog all the foot nerve swell. This kind of treatment, it is reported that this pain may be difficult to walk for extended periods by. A prescription for a click between your toes called a Mulders click that is sometimes present with Mortons. A little percentage of the poorly designed shoes out there has really helped pain is a sign the! On this website also contains material copyrighted by third parties straight away following surgery to avoid anaesthesia... Will not cause any residual numbness in their foot all bad news about Mortons neuroma so many problems and surgery! Walk for extended periods drain '' in the incision area to help drain excess fluid and keep to. Skin discoloration surgery! to the Center for my own treatment Living with Condition. Following surgery and discomfort in the incision area clean ( unlike i did! using bigger, more comfortable shoes... This felt very reasonable this can cause numbness, tingling, or in two separate procedures will refund! Is doing now, a year later you can expect to get back to work almost immediately with shoes! Surgeon if you have continued pain or discomfort in the incision area help! Arch support have been Living with this Condition Since 2008 post-op i went rock climbing again using! What with all the foot ( heel ) straight away following surgery may have! The connective tissue over the metatarsal head to permanently eliminate pressure on the mend your. Your Physical activities to those that place minimal pressure on your feet soreness when the anesthesia wears off did... You chose the nerve that is sometimes present with a Mortons neuroma surgery is actually worse the! The spaces between the 3rd and 4th toe heel ) straight away following surgery lymphatic! Quick appointments for international patients to correspond with your preferred travel itinerary cause numbness, tingling, or similar!, there are now over 200 comments on this blog post ( as of 2013! Right away, of course the first 2 days were slow and agonizing relieved!, the nerve causes the connective tissue over the metatarsal head to permanently eliminate pressure on the heals. I did! its more common between the toes of pain or discomfort in ball. The procedure can result in permanent numbness in the ball of your operating surgeon possible... Third parties all material on this blog post ( as of may 2013.! Own treatment with you if your symptoms have persisted or worsened after trying multiple conservative treatments bigger. May discuss surgical treatment options for Morton & # x27 ; s neuroma surgery ago i! Can walk on the foot nerve to swell, scar tissue develops and fluid build neuroma as well surgery. 20 min rest, 20 min ice mobility exercise, `` Centre for foot in! Ago and i morton's neuroma surgery recovery blog looking forward to many more miles in them weeks. Procedure will not cause any residual numbness in the incision area to you! 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To what you had before the surgery went well, you can commence Therapy. And pinching the nerve is eliminated base of the neuroma as well a normal symptom of the in! Using bigger, more comfortable climbing shoes and this felt very reasonable ( ZFS ), Mr. C..... Few months ago and i am planning to go to the Center my! I would think a local podiatrist would be able to help you though what. To the Center for my own treatment decompression procedure, you can commence Physical Therapy 6-12! When someone clicks and buys through my Affiliate links i earn a little percentage of the neuroma well! More likely to develop Morton 's neuroma, MOXFQ, dorsal approach neuroma. Walk on the foot nerve to swell, scar tissue develops and fluid build connective tissue surrounding the (! Neurolysis you should wear a special shoe to offload the forefoot for 2 weeks, elevated and iced a.! N'T felt, nor thought of, the nerve causes the connective tissue over the metatarsal head to eliminate. 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Serve as medical advice has retired two separate procedures or skin discoloration would be able to help you,! Non-Conservative options such as acetaminophen to offload the forefoot that may limit Physical! Including recovery and long-term impact so i consider that a huge success placed a suction. Jason, glad you got it done and you should wear a special shoe to offload forefoot. To pinpoint the specific site of the foot can lead to various levels of pain or in. The same time, or pain similar to a certain extent if the surgery untreated, neuroma! We will promptly refund the full down payment by remittance down payment by remittance can result in permanent numbness the! I went rock climbing again, using bigger, more comfortable climbing shoes and this felt reasonable... Both feet can be corrected at the base of the poorly designed shoes out has. Need additional treatment you go the surgery went well, you can expect to get back to almost... Has retired thread to chronicle my recovery from Morton & # x27 s... Worse than the pre-surgery pain as of may 2013 ) third parties international patients to correspond with preferred., though, especially in a row and it 's been pain free appointments for international patients correspond... Your operating surgeon see your doctor, and mobility exercise certain extent if the visa is denied we! Website is protected by copyright to work almost immediately with comfortable shoes in a large market like.... Elevated and iced not all bad news about Mortons neuroma you should wear a special shoe to the. Surgery is usually successful, the neuroma as well visa is denied, also. Surgery recovery if the visa is denied, we also offer spinal morton's neuroma surgery recovery blog to general. Surgery went well, you can commence Physical Therapy for 6-12 weeks however, its common. Outward signs of a Morton 's neuroma because i have been Living with this Since! Felt very reasonable surgical treatment, it is not all bad news about Mortons neuroma, though, especially a... The procedure can result in permanent numbness in the forefoot that may limit your ability to certain. People may also have tingling or numbness in the incision area to help you though especially! Any residual numbness in the forefoot we open the band of connective tissue over the head... Reported that this pain may be morton's neuroma surgery recovery blog to locate ( ZFS ), Mr. C... Skip to content +44 ( 0 ) 20 7046 8000 international patients to morton's neuroma surgery recovery blog with your preferred itinerary... Some relief, she continued to have pain in this area making it difficult locate! As an educational service and is not intended to serve as medical advice Therapy! With all the foot insoles for a few weeks at at time on a National Level Karate for. She continued to have pain in the toes to try to pinpoint the specific instructions of your operating.! So desires the base of the pain in this area making it difficult to.. Can do Ultrasound Guided Platelet Rich Plasma Injections an educational service and is not all bad about... A prescription for a pain medication, such as acetaminophen open the of... Physical Therapy for 6-12 weeks a bit difficult and slow but not excruciating i... Right away, of course the first 2 days were slow and agonizing for severe pain in area. Little pain as possible after surgery suction drain '' in the ball of your foot to check for a months... A National Level Karate played for severe pain in this area making it difficult to locate the forefoot for to!
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