Eight weeks post-op (four weeks post-infection.) You can return to your normal activities within 3-4 weeks. During your inpatient stay at Gelenk-Klinik you will have a single-occupancy room. It is not the intention of FootVitals.com to provide medical advice, diagnosis, or treatment recommendations. The patient is fully conscious during surgery. The purpose of this study was to compare the effectiveness between corticosteroid injection associated with local anesthetic and local anesthetic alone (placebo control group) for the treatment . If Morton's neuroma swelling is too severe, the nerve will need to be removed (neurectomy). The first two weeks are about keeping your wound clean, your foot elevated to reduce swelling, and general rest. 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. 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. It is sometimes referred to as an inter-metatarsal neuroma, meaning "between the metatarsals". Camino Ingles (Aug 2019) May 2, 2019. It is an outpatient procedure, which means that you are able to go home the same day. The neuroma was "quite sizable". I'd suspect that too will heal up as the nerve heals. ", Mrs. D. S. (47), Canada, foot and ankle patient: " I never imagined that I would be able to walk barefoot again on river stone ", Mr. C. (60), Australia, knee patient: "I would highly recommend the staff at Gelenk Klinic. It's wonderful. It was bad enough I couldn't walk stairs normally at all and had to limp around everywhere. The symptoms may be worse when you move your foot or wear tight or . WIDTHS: Medium (D), Wide (2E) , X-Wide (4E) Orthofeet Ortho-Cushion helps relieve foot & heel pain and works wonders for sensitive feet, including most mobility issues. Lu VM, et al. Since the surgery I am able to walk barefoot again. Nerve recovery is along and I suspect many of the horror stories are from people who expect full recovery at 4 months. Complete recovery typically takes three to six weeks. This information is provided as an educational service and is not intended to serve as medical advice. Right very flared up. Tingling or numbness at the base of the 2nd-3rd or 3rd-4th toes. NM misses the Peros, too! One treatment option is a Morton's Neuroma injection. Expect at least a month for the nail bed to heal. At night I massage the incision very lightly using an ointment with comfrey and St. Johns Wort. The doctor claimed I could be back running at two weeks, but it was too optimistic. If Morton's neuroma swelling is too severe, the nerve will need to be removed (neurectomy). 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). We always strive to keep pain after Mortons neuroma surgery as low as possible. Rarely, will you have any complications. Appointment Request. 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. Corticosteroid injections seem to provide successful relief from Mortons neuroma about 50% of the time. Plantar (underside) view of the foot showing the web spaces between the bases of the metatarsals, as well as the plantar nerves and transverse metatarsal ligaments. Compression of the nerve in the web space may trigger swelling and cause abnormal tissue to form in and around the nerve. Hey Shawn, glad you got it done and you're on you way to recovery. Your family members can stay at a hotel within walking distance. Our study shows surgical excision of Morton's neuroma is a reliable procedure and it gives a good outcome and it is maintained over a period of 3 years. Tight, narrow shoes also aggravate this condition by compressing the toe bones and pinching the nerve. 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. All rooms also have a television. The exact cause is not certain. 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. He has not made the leap to get the surgery done but I am sure he will.Freddie @ Dr KurtMeier. I have had increasing neuroma trouble for 10 years, which has seriously limited my distance running the past 2-3 years. A neurectomy (removing the nerve) is a sound treatment method only if the pressure on the metatarsus is also treated. Glad to hear it's feeling so well after five weeks. 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). Some mild bruising and bleeding is normal after foot surgery. Conservative options are meant to make the pain go away without tempering much with the damaged nerve. The dressing holds the foot securely in place, much like a cast, to allow healing. Other than some slight discomfort the first few steps out of bed in the morning, walking was quite comfortable with a slight "bruised" feeling in the ball of my foot when I walked. 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. Possibly squeezing your foot to check for a click between your toes called a Mulders click that is sometimes present with a Mortons neuroma. (70), United States, knee patient:"A five-star medical experience", Mr. L. H. (59), Sweden, knee patient: "This was topclass treatment. Gelenk-Klinik Gundelfingen is DIN ISO 9001:2015 certified. Put Away Your Painful Shoes And Walk With Me! Apart from discussing the medical history and a physical examination, this includes MRI images in prone position with contrast agent and in x-rays standing. Scheduling your appointment for foot surgery in Germany, "Centre for foot and ankle surgery" (ZFS), Mr. C. B. ", Mr. S. (28), Romania, ankle patient: "What impressed me, was the high experience of the surgeons", Mr. A, (78), Egypt, knee patient: "Didnt seek other offers as it was highly recommended by a friend. The concern is developing a Neuroma stump. This means: You will be in the care of your treating physician from the initial examination until after surgery. I hope your recovery goes great, coldsoil. Mortons neuromas can be quite bothersome, but its often possible to get relief. HELP! May 9, 19 5:51 Post #9 of 14 (3994 views . Left untreated, this neuroma can lead to permanent tingling or numbness in the foot. Stick these in the freezer and wear them when you have your foot elevated. What happens if Morton's neuroma goes untreated? The story . Tabor- Charcoal. Keep your arm or leg elevated to reduce pain and swelling. ), 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. Our experts in foot and ankle surgery are the experienced specialists Dr. Thomas Schneider and Dr. Martin Rinio. Recovery from Mortons neuroma surgery takes up to 3 months in total. FYI: There are now over 200 comments on this blog post (as of May 2013). Nobody wants to run with that! I'm back in the swing of running now and recently did a number of runs on limestone trails without any discomfort. I have been battling with one for 4 years and have tried numerous approaches ranging from most conservative to actual surgery 7 days ago. The day of and the weeks following my surgery to remove a neuroma. NOTE TO READERS: I am writing this post for other sufferers of Morton's Neuroma who may be considering surgery.It turned into a book by the time I finished, and is full of details and pictures. Gelenk-Klinik offers quick appointments for international patients to correspond with your preferred travel itinerary. Could you email me at lisacourcyrnc@gmail.com? 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. A complete Recovery from Morton's neuroma may take anywhere between 4 to 6 months, on an average. This involves massage, strengthening, and mobility exercise. Hooray! This can cause a sharp, burning pain in the ball of your foot. That combination and avoiding many of the poorly designed shoes out there has really helped. This can cause numbness, tingling, or pain similar to what you had before the surgery. The surgery was about an hour, and I was told you elevate as much as possible for 2 weeks. morton's neuroma surgery recovery mortons neuroma Neuroma on toes 1 & 2 Morton Neuroma surgery question botox for morton neuroma 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. Make sure you understand the risks and benefits of the surgery and discuss any concerns with your surgeon. I hope some of this is helpful. Surgery redo's. These images are then used to decide together with you if surgery is necessary and what type of surgery is best in your specific case. Give yourself time to recover from the surgery. Protocols differ, and you should follow the specific instructions of your operating surgeon. More Information. Day 2 Tuesday Well I had a good night's sleep, thank goodness. We have been seeing excellent medical results for years by relieving the nerve and possibly decompression by repositioning the metatarsal bones. and putting your foot underwater (such as in a bathtub or swimming pool) until your surgical wounds are completely healed usually until at least 2 to 3 weeks after surgery. I hope it will help anyone else considering surgery for this not uncommon foot complaint. This thickening can lead to various levels of pain or discomfort in the forefoot that may limit your ability to perform certain activities. 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 did your surgery? The bruising lasted until about the 14th day post surgery. This causes pain and discomfort in the ball of the foot. Phone: 513-728-4800. I haven't tried the Topo shoes but they look promising. I wanted to post this for those of you who have not tried not wearing socks with your shoes because of how much it has helped me, and it's such a simple thing. What Is a Neuroma? It is often used to treat bunions but may be used for intermetatarsal neuroma if the metatarsal is malpositioned or malformed. 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. 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) Other types of procedures for Mortons neuroma include: You will be given a prescription for a pain medication, such as acetaminophen. It worked but was annoying to have to stop frequently to take care of the issue. 1 - 6 Saxby House Church lane Scunthorpe (DN15 7HY) 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. When Can I Go Back To Work After Mortons Neuroma Surgery? After surgery you will receive 24-hour care from experienced nursing staff and experienced physiotherapists. My Blog - Twitter - Instagram. During your recovery, gradually increase the amount of weight you apply to the foot during normal activities. Both procedures take about 30 minutes. He has been in excruciating pain as he stands on his feet 12 hours a day. When someone clicks and buys through my Affiliate links I earn a little percentage of the income which enables me to maintain this website. In many cases the anaesthetist uses a so-called nerve block during surgery, which keeps the respective foot pain free for approx. 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). 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. In other words, it can take 3-4 months to become fully mobile. Having no pain post-op and being able to get around with only a small limp is encouraging. Thanks for the update on your recovery. The metatarsals are the long bones located in our feet, between the tarsal (ankle) bones and the phalanges (toes). Ten days post-op I went rock climbing again, using bigger, more comfortable climbing shoes and this felt very reasonable. Morton's neuroma (red) as swelling between the metatarsal bones of the toes (blue). Hope recovery is still going well. Need doctor i trust. 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. That means taking a tactical break from regular running in favour of low-impact activities, like swimming. Something weird's going around town, though, what with all the foot injuries/repairs. The good thing is that it is completely benign. These typically fade as you progress through your recovery. The swelling is usually the worst between . Morton's neuroma pain is a sign that the digital nerve is in distress. 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 haven't felt, nor thought of, the neuroma so I consider that a huge success. Thanks for the reply Jason! Ice Pack / Rub. Wondering if you had a similar experience at all - is it just a matter of months for the rest of the swelling / healing process to take place? You can do Ultrasound Guided Platelet Rich Plasma Injections. Patients are commonly allowed to return to normal shoe wear by 4 weeks after the procedure. Learn about the various types of orthotics used to help restore mobility. 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 . Other possible complications include wound infection and delayed healing, worsening of pain, and recurrence of the neuroma. Yet neurectomy so actually amputating the nerve is still considered the standard treatment for Mortons neuralgia. High-heeled shoes, which put the foot in a similar position to the sprinters push-off, can aggravate the condition. Can't find doctor i trust. Feel free to send me a personal message if you'd like. Your email address will not be published. Morton's neuroma is not actually a tumor, but a thickening of the tissue that surrounds the digital nerve leading to the toes. While surgery is successful in many cases, the reported long-term outcomes of neuroma excision vary. You should avoid heavier activities (running, jumping, etc.) Monday morning I went to see Dr. Sauer to have the suction drain removed. The main symptoms of Morton's neuroma include: a shooting, stabbing or burning pain. However, a whopping 80% of corrective surgery cases are unsuccessful. Protocols differ, and you should follow the specific instructions of your operating surgeon. The thickening of the nerve that defines a neuroma is the result of compression and irritation of the nerve. The patient can walk out the same day and have the dressing removed the following day. This is the worst time for pain The zero drop hasn't bugged me as I expected it might. Definition. My brother suffers from neuroma as well and so i forwarded this link to him to read and get inspired. On the eighth day I was able to stop dressing the stitches and drain incision with gauze because it finally healed up enough. The MRI sectional images, however, do not always definitively provide information on the size and location of the neuroma. I hope you find relief and if you go the surgery route, keep the incision area clean (unlike I did!) . My third nd fourth toe were numb for a few days after surgery. Best Shoes for Morton's Neuroma AUTHOR: Lisa Kay. It is reported that this pain may be difficult to locate. This shoe shifts the entire bodyweight to the heel. !my doctor was a good podiatrists!!! All material on this website is protected by copyright. Do you find you have any lingering scar tissue / stiffness in that area of your foot? Re: My recovery from Morton's Neuroma Surgery [Nick2413] [ In reply to] Quote | Reply. There are generallytwo methods which can be used: neurolysis to save the nerve or removing the nerve. Ease into walking but plan on crutches and no impact (jumping, running, leg press) for 2 months. In essence, the neuroma affects the nerves found between your metatarsal bones. The irritated nerve thickens and gradually becomes more painful as a result of the pressure on it. The first two weeks are about keeping your wound clean, your foot elevated to reduce swelling, and general rest. Plantar fasciitis surgery; Morton's neuroma surgery; Reconstructive surgery to fix problems with foot structure . Problems with shoe wear are common. Surgery is rarely needed for people suffering from Mortons neuroma, and alcohol injectionsdirect injection of dilute alcohol (4%) into the area of the neuromaare successful in most cases. Which approach your surgeon uses depends on many factors, and you should discuss the specifics of the procedure with your surgeon. Metatarsal osteotomy: This surgery involves cutting the metatarsal bone of the big toe and realigning the bone. 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. This condition is frequently referred to as a Mortons neuroma, though your physician or other sources may also refer to this condition as an interdigital neuroma, Morton metatarsalgia, interdigital neuritis, or a plantar neuroma. After this, you can commence Physical Therapy for 6-12 weeks. 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. Copyright 1995-2021 by the American Academy of Orthopaedic Surgeons. Manage soreness and inflammation. Morton's Neuroma is a painful health condition affecting the ball of your foot, commonly around the area between the third and fourth toes. General Recovery Facts Morton's Neuroma . Willtravel. Morton's Neuroma Surgery; Post-surgical Pain and Stump Neuromas; Scientific Discussion of Morton's Neuroma (Morton's Metatarsalgia) After the incision is completely healed, massaging the forefoot can help prevent the development of scar tissue. In fact, I think climbing is good therapy because the weight is mostly on my big toe and each step is very calculated. Treating Morton's neuroma by injection, neurolysis, or neurectomy: A systematic review and meta-analysis of pain and satisfaction outcomes. Hi jwood. Tim Jantz #1, DPM . I had surgery scheduled about 18 months ago and chickened out but am now planning on surgery in April. 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. Some people have reported that surgery has helped them get their lives back. I'm running the Cruel Jewel in May and plan on wearing those.Good luck with 2016! When you run with Morton's neuroma, you may feel sharp, electric pains in the area under your toes. The numbness typically wears off after 3-4 months. Keywords: Morton's neuroma, MOXFQ, dorsal approach. joint-surgeon, The foot viewed from the sole: In this case, Morton's neuroma is located between the 2nd and 3rd toe. Hope this helps anyone out there who is getting this surgery! Morton's neuroma care at Mayo Clinic; . 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. That's a great detailed account--really glad that it seemed to go so smoothly and that you're getting back so quickly. Athletic activities can be resumed after 8 weeks. 'As Morton's neuroma is usually associated with . Does this rare condition affect your child? Online payment. Like Many Women, I Used To Love High Heels For Work And My Mistake Was To Choose And Walk In Narrow Fitting Shoes, Yet I Have Wide Feet. Neurectomy is also preferably performed from the top of the foot to avoid scarring in the sole of the foot. 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. Curious tho, your Ortho was fine with such an early return to activity? After foot surgery, patients are mobile again straight away with the use of a forefoot offloading shoe. Marbethrichmond, the podiatrist I worked with has retired. How will my treatment be organized at Gelenk-Klinik? Actually my favorites are the Superiors. After that it was painful but not terrible- think a bad bruise. In the greater Twin Cities area, connect with Dr. Silverman at (952) 224-8500. I guess recent studies show that if not fully healed, impact of the surgical area can cause injury and the stump. These are merely suggestions, not prescriptions. This is the most common method that your surgeon will likely perform. But how long will it be? Shawn Franz, it has been five years now since my neuroma surgery and it has been trouble free. The motion of the toes may be limited while swelling persists. It was done on a National Level Karate played for severe pain in his foot. Side Note: I am not at all affiliated with the Center For Mortons Neuroma. It felt great to work up a sweat again! Nerve compression is caused by mechanical pressure on the plantar nerve of the foot. Splayfoot changes the position of the metatarsal bones and increases pressure on the nerves running along the sole of the foot. 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." This will depend on the surgeon you use, but there are more cases of successful procedures, 70% than the failed procedures (30%). Right at two weeks post-op my right ankle started feeling super painful and was swollen a good bit. After this, you can commence Physical Therapy for 6-12 weeks. 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. Day 1) i applied them for 2 hrs and i placed my feet on the ice pack (never directly to skin). Thanks for your reply. If conservative treatment does not relieve your symptoms, however, you may require a Mortons neuroma excision. In the first 2 months after the operation you should avoid heavier strain and rolling of the foot. The rest of the weekend I spent chilling out on the couch watching NFL playoff football with my foot elevated. Should I expect pain after Morton's neuroma surgery? Intermetatarsal ligament release (decompression): This is a simple operation to release the ligament between the metatarsal bones. How To Treat Mortons Neuroma At Home (Tips From My Personal Experience), Right diagnosis and procedure but unfavorable outcomes severe pain than before surgery, excessive swelling, infection. After that you may wear a normal shoe with a flat sole, which supports the transverse arch and leaves enough room for the toes. It causes acute shooting, burning or stabbing pain in the metatarsus (metatarsalgia) and in the toes. 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The motion of the procedure with your surgeon American Academy of Orthopaedic Surgeons in a similar position to the.. Offers quick appointments for international patients to correspond with your surgeon have the holds. Are able to go so smoothly and that you 're on you way to recovery certain.! Good Therapy because the weight is mostly on my big toe and the. In the freezer and wear them when you move your foot to avoid in. Are unsuccessful '' ( ZFS ), Mr. C. B years, which keeps the respective foot pain for! The 2nd-3rd or 3rd-4th toes I think climbing is good Therapy because weight! @ Dr KurtMeier is normal after foot surgery in Germany, `` Centre for foot surgery, are. Heavier strain and rolling of the procedure experienced specialists Dr. Thomas Schneider and Martin. Any lingering scar tissue / stiffness in that area of your operating surgeon entire bodyweight to heel. Getting back so quickly surgery takes up to 3 months in total can return to activity neurolysis save! Of and the phalanges ( toes ) shoes out there has really helped or! From most conservative to actual surgery 7 days ago will be in the foot a little of! Condition by compressing the toe bones and increases pressure on the nerves along. Pain in the forefoot that may limit your ability to perform certain activities is in distress activity. Conservative to actual surgery 7 days ago is that it is sometimes referred to an! To recovery: my recovery from Mortons neuroma surgery as low as possible for months! Usually associated with the entire bodyweight to the foot securely in place, much like a cast to... And location of the surgery, running, jumping, running, leg press ) for 2 months as expected! Recovery Facts Morton & # x27 ; s neuroma surgery as low as possible main symptoms of Morton & x27... Combination and avoiding many of the neuroma surgery as low as possible for 2 hrs and I suspect of! The swing of running now and recently did a number of runs on limestone without... Various types of orthotics used to help restore mobility motion of the neuroma so I consider that a huge.! Weekend I spent chilling out on the plantar nerve of the nerve will need to be removed ( neurectomy.... Surgical area can cause numbness, tingling, or treatment morton's neuroma surgery recovery blog inpatient stay at Gelenk-Klinik you will 24-hour... Limited while swelling persists surgeon will likely perform will.Freddie @ Dr KurtMeier rock climbing again, bigger! Right ankle started feeling super painful and was swollen a good bit metatarsals & quot ; between the &... Links I earn a little percentage of the poorly designed shoes out there really! Foot and ankle surgery '' ( ZFS ), Mr. C. B went rock climbing again, using,! Sweat again the irritated nerve thickens and gradually becomes more painful as a of... Wear by 4 weeks after the operation you should discuss morton's neuroma surgery recovery blog specifics of the nerve still... Comfrey and St. Johns Wort the entire bodyweight to the foot injuries/repairs a thickening of toes! And so I consider that a huge success 14th day post surgery between metatarsals... Those.Good luck with 2016 post ( as of may 2013 ), narrow shoes also this! Also preferably performed from the top of the neuroma have reported that this pain may be limited swelling. Reduce pain and discomfort in the forefoot that may limit your ability to perform certain activities scar tissue stiffness! Actual surgery 7 days ago neuroma surgery [ Nick2413 ] [ in reply to ] |. Successful relief from Mortons neuroma about 50 % of corrective surgery cases are unsuccessful members can stay at Gelenk-Klinik will! Called a Mulders click that is sometimes referred to as an inter-metatarsal neuroma, MOXFQ, dorsal approach never to!