Having no pain post-op and being able to get around with only a small limp is encouraging. According to the doctors at the United States Neuropathy Centers, this method is an outpatient procedure that is much less invasive than Neurectomy. The irritation of the nerve causes the connective tissue surrounding the foot nerve to swell, scar tissue develops and fluid build. You can walk on the foot (heel) straight away following surgery. I was told not to put pressure on my foot for the first couple days, to use crutches, and then I could put pressure on my heel to walk with crutches. My doctor is a foot and ankle orthopedist at a sports clinic. Private room in the Gelenk-Klinik in Gundelfingen, Germany. Hooray! 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. Mortons neuromas in both feet can be corrected at the same time, or in two separate procedures. Follow your surgeons instructions regarding preparation for surgery. Thanks. I can actually see the tendons. 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. Who did your surgery? There is a reported 90% success rate with this method. That means taking a tactical break from regular running in favour of low-impact activities, like swimming. The podiatrist that did my surgery was pretty nonchalant about my seemingly early return to activity. You only need to bring your personal medication, comfortable clothes and sleepwear. I'm writing this to help others who are facing surgery to correct Morton's Neuroma and to describe my recovery process and progress. 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. Gelenk-Klinik offers quick appointments for international patients to correspond with your preferred travel itinerary. joint-surgeon, The foot viewed from the sole: In this case, Morton's neuroma is located between the 2nd and 3rd toe. This involves massage, strengthening, and mobility exercise. Long recovery. It was bad enough I couldn't walk stairs normally at all and had to limp around everywhere. . Quick update- I started running again at week 5. 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. Finally 7 days out from a pretty good surgery and in the funky post op black shoe that is pretty much the foots equivalent of a vasectomy! These are merely suggestions, not prescriptions. It is normally found in the nerve between the third and fourth toes . A complete Recovery from Morton's neuroma may take anywhere between 4 to 6 months, on an average. I kept my foot elevated and enjoyed some solid couch time. Messages: 10. So, you will always have one contact person who will be very familiar with your case and assigned to you throughout your stay at Gelenk-Klinik. This will again vary from person to person. Cryosurgery can be very effective in desensitising nerves that have become damaged due to injury. 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. Patients who have cryogenic neuroablation are less likely to see symptoms return. A portion of the involved nerve is also removed (neurectomy). 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). I hope some of this is helpful. Plantar (underside) and dorsal (topside) views of the foot showing a Morton's neuroma (circled) in the third web space. A Morton's neuroma is when a nerve in the ball of your foot becomes irritated and enlarged. What Are The Best Workout Routines For Mortons Neuroma? The foot specialists in Germany will first need current MRI images and x-rays of the respective foot to assess the size of the Morton's neuroma and possibly other foot conditions. You will further receive physiotherapy and lymphatic drainage to prevent muscle loss and minimise swelling of the forefoot. Also, they specialize in conservative treatments. 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. Pain is typically between the base of the third and fourth toes, but it can occur between the second and third toes as well. Two and a half years later and I'm still completely good to go. Morton neuroma is painful thickening of the tissue around one of the nerves in the foot. 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 . I folded a pillow in half and was more All material on this website is protected by copyright. The pain is caused by the thickening tissue around the nerve. You should avoid heavier activities (running, jumping, etc.) So patients are also able to travel again. Cortisone injectionsonly worked for a few weeks at at time. Other types of procedures for Mortons neuroma include: You will be given a prescription for a pain medication, such as acetaminophen. However, you should elevate your foot as much as possible whilst the wound is healing to prevent swelling. Medication may be prescribed to prevent further infection during your recovery. 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. The good thing is that it is completely benign. Day 2) same thing but for 4 hrs. My brother suffers from neuroma as well and so i forwarded this link to him to read and get inspired. In short, at about eight weeks post-op I really noticed a healing change and things got better fast. I am healing well but very anguish about the stump neuromas I read about. Fortunately, a repeat surgery for Mortons neuroma recurrence has a similar success rate to the initial surgery (80 to 95%). 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. The wide forefoot and maximum cushion of the Altra shoes worked well for my beat up foot. Morton's neuroma involves a thickening of the tissue around one of the nerves leading to your toes. How Long Does It Take To Recover From Mortons Neuroma Surgery? Im at week 8 now. Give your foot the chance to mend, too. Ive always been nervous about the surgery but its nice to know that its really worked for some people. Swelling is a normal symptom of the neuroma as well. Please share your experiences, ask any questions or share any thoughts in the comments section below. In fact, I think climbing is good therapy because the weight is mostly on my big toe and each step is very calculated. Clinic Also, are you able to walk barefoot since the surgery? When properly done, the nerve should be removed far back so that the nerve does not get compressed any further. Morton's neuroma is a condition that affects one of the nerves that run between the long bones (metatarsals) in the foot. fon: +49-761-79117-228 For the ice pack, I put 5-10 ice cubes in a plastic bag (preferably a freezer bag to avoid leaking). Stick these in the freezer and wear them when you have your foot elevated. Had it injected which worked well furst two times, but now neurima is very big so having surgery two days from now. I'm on day 1 post op, no suction drain and definitely relying on the pain meds a bit but nothing too awful. I'm glad someone is reading this and hopefully my experience will help you make a decision and know what to expect if you end up doing the surgery. All rooms also have a television. Re: My recovery from Morton's Neuroma Surgery [Nick2413] [ In reply to] Quote | Reply. After that it was a bit difficult and slow but not excruciating. The pain is so severe that patients will only experience temporary relief by sitting down or taking off their shoes. However, a whopping 80% of corrective surgery cases are unsuccessful. Best Shoes for Morton's Neuroma AUTHOR: Lisa Kay. 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. 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. What happens if Morton's neuroma goes untreated? The recovery period after surgery for Morton's neuroma is short. ThanksShawn. Protocols differ, and you should follow the specific instructions of your operating surgeon. Yet neurectomy so actually amputating the nerve is still considered the standard treatment for Mortons neuralgia. After this, you can commence Physical Therapy for 6-12 weeks. 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. It could be the result of an incorrect diagnosis, leading to a failed surgery, or it is a result of the neuroma stump formation. Pain with standing or walking. If the visa is denied, we will promptly refund the full down payment by remittance. In the first 2 months after the operation you should avoid heavier strain and rolling of the foot. FYI: There are now over 200 comments on this blog post (as of May 2013). Site Map. !Anyway - I'm amazed at how soon you began pushing things and gonna go out on a limb and say you may have been up and running sooner if you had laid off and not pushed thingsyou only get one pair of feet and not much happens activity wise without them. My advice to you, one Mortons Neuroma sufferer to another, once you are diagnosed with this condition, do not rush into surgery. Right very flared up. This speeds up the healing process and the patient is able to use the foot sooner. Morton Neuroma Removal Surgery is a procedure that involves removing the Morton's neuroma. 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. Mortons Neuroma Nerve Decompression Surgery, Recovery Time After Mortons Neuroma Surgery. I suspect the electric pain you experience when you touch it will eventually dissipate too. We will gladly take care of making the reservations. If you are experiencing any of the symptoms described above, you may benefit from an evaluation by an orthopaedic surgeon. 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). This is the most common method that your surgeon will likely perform. Give your feet a deserved break rest more, If the above doesnt work Try conservative treatment options, If those fail, go for conservative surgery nerve decompression, If that fails, then you can do a Neurectomy. Surgery to correct a Mortons neuroma can be done in your podiatrists office with local anesthesia or with IV sedation and local anesthesia. The doctor claimed I could be back running at two weeks, but it was too optimistic. On the eighth day I was able to stop dressing the stitches and drain incision with gauze because it finally healed up enough. This involves massage, strengthening, and mobility exercise. You should see a foot specialist or your primary care doctor for any type of foot pain that lingers more than a few days. The non-conservative options such as surgery are meant to remove the damaged nerve . The motion of the toes may be limited while swelling persists. This will depend on the type of surgery you have opted for. There is good news for those who had undesirable results with Mortons Neuroma surgery. Actually my favorites are the Superiors. I'm having a similar experience. ISSN 1941-6806 doi: 10.3827/faoj.2018.1202.0005. Nerve recovery is along and I suspect many of the horror stories are from people who expect full recovery at 4 months. 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