Surgery Morton's Neuroma Pain in Foot
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- Опубліковано 4 сер 2024
- Surgery of the Foot and Ankle: astore.amazon.com/nichogiovi-20
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A Morton's neuroma is a pathological condition which is caused by a benign neoplasm of the plantar interdigital nerve in the foot. This results from a tumorous growth of the perineurial tissue called a fibroma, thus a Morton's neuroma is not a true neuroma.
Although a Morton's neuroma most commonly arises in the 3rd interspace, between the 3rd and 4th metatarsal heads, it may also be found in the 2nd or 4th interspace as well.
Symptoms of a Morton's neuroma may include numbness, paraesthesia, and a sharp, shooting pain, which radiates towards the affected toes. This sensation is elicited or exaggerated by compressing the metatarsal heads together which, in turn, compresses the enlarged nervous structure.
Conservative care of a Morton's neuroma may include sclerosing and anti-inflamatory injections, as well accommodative orthosis. Although these methods may relieve painful and immobilizing neuroma conditions, surgical intervention may be required.
This involves soft tissue exposure or dissection of the enlarged nerve body. Once this is done, the neuroma must be isolated and removed by cutting away the stem, proximally, and the branches, distally.
Because the nerve is removed, there will be a loss of sensation in the affected area for several months or even years. Over time, this area will re-innervate by means of communicating branches from surrounding nerves.
I had the surgery and wish I hadn't! I have no feeling in my middle toes and the pain from the surgery was excrutiating. I'd rather they chopped off my foot than go thru this procedure again!!!!
I'm glad you enjoyed it, thank you
This was enlightening , now i know exactly why my foot hurts.
Thx.
That's great news. I'm glad to hear when people get back to daily life, once again.
@JonathonPetruk @ThePhailed I'm just as surprised as anyone else... Thanks for stopping by
@akropiss Outstanding! Glad it was useful in your recreational adventures
@sylburn22 I'm hopeful for you, too. You drum for a band? Got any video's online?
Best of luck and a great recovery to you,
Nick
@DrGlassDPM No, haven't gone the injection route just yet. I've managed to heal it somewhat by using an insole with about a 1cm moleskin padding just under and behind my big toe. It's taken the pressure off the neuroma and has allowed me to resume running for less than an hour. It's been getting progressively better albeit very slowly but the pain is still there when walking barefoot. Your video was very helpful with the diagnosis. Thank you.
Merci vidéo thank.you.
I would like to say that "Innervation" itself, does not take place per say. The sensation returns, but the original nerve is still removed.
We hope this doesn't cause any confusion.
That could depend on a number of things. Based on what your Doctor ultimately believes. The good news is that its a "soft tissue" procedure.
Meaning that these typically take less time to heal than one where bones are cut and need to heal. You shouldn't have to worry about crutches for too long, if at all.
@bboyjkang I think cryosurgery is something newer on the market. It does provide many patients with relief. It's not 100%, but neither is the traditional surgery. My only concerns would be collateral damage of other soft tissue structures in the area of the foot or damaging vessels. It may be worth a try, especially if nobody in your area has better results with the traditional "open" approach.
@kantire I'm sorry to hear your situation. Nerve surgery can have some variable results. How long ago was your procedure?
@kantire I imagine 4 years is a long time to deal with the pain; my sympathy to you. What other treatments have you tried?
@Hectorrskates It honestly depends. What sort of injury did you have? The pain may or may not be a result of nerve pathology
@Hectorrskates You may have bruised your foot, or some structures within. It may not be nerve. How long ago was it?
@DrGlassDPM All I have done since then is I bought custom made orthodics, I'm wearing the best running shoes I can afford, I have taken a desk job to stay off my feet. My doctor has basically said" whats done is done" in regards to my surgery- you can't undo whats done. I just want people to search out all other means before considering surgery. As I said you can't undo what's been done.
@c1eLno1r No problem, Thanks for watching
Having tried all other treatment methods, I'm now considering surgery for removal of the nerve. I was just wondering if anyone knows approx. how long recovery time is. Thanks!
@eviljoebob Injury and inflammation, especially after a long time, can present with a wider range of symptoms. Have you received any recent Xrays? Stress fractures will have a maximal point of tenderness on the bone itself, but they are not always easy to localize...
I have this -.-
Is it possible to the roe reduced in size and I have no pain from Mortans toe idk what it is
Yvette,
This is a tough choice. Nerve pathology can be quite tricky to treat and not always guarantee 100% recovery. Have you already had injections? Do you follow with a foot and ankle specialist?
Yes, people go back to regular shoe gear all the time. Be aware, that some neuromas are actually considered to be caused by improper or extreme shoe gear, such as heels.
There's honestly no guarantee that the neuroma won't return if surgery is performed, but having said that, regular heels shouldn't be completely out of the question.
@DrGlassDPM My surgery was 4 years ago-and I still cannot feel my toes, My other foot also has a neuroma but I'd rather live with that pain than undergo the surgery again.
right on, you can't expect the foot to adjust quickly after a lifetime of being in shoes....low heel shoes but still with a sole might be a good transition. I wish they made running shoes with more absorption in the front/mid foot where one is supposed to strike when running (not the heel)
yea, i'll do that...thx
@porksniffer Often, injections will help this. Sometimes an irritated or inflamed nerve will cause those sorts of uncomfortable symptoms. Have you received any injections?
@DrGlassDPM tomorrow it will be exactly 5 weeks. it hurts most after running.
Im trying to figure out if I might have this or a stress fracture. I run and got a stress fracture on my right foot about 3 weeks ago and the past few days I've had a weird throbbing feeling in my left foot either on my 4th metatarsal or between the 4th and 5th metatarsals
Dr. Glass, I was running for a few years and can't now as i've developed pain in my foot about the 4th & 5th metatarsals; I had some bad cramps close to or above where the peroneus tertius begins in the leg as well and i'm guessing these are related issues. I also noticed that foot suppinating as i ran. Should targeted massage therapy alleviate the issues and is the foot problem most likely a symptom of the peroneus issues? Been off running for 9 months now and foot still pains at times; thx!
@DrGlassDPM well i jumped and landed will all my weight on my 5th and 4th toe and it felt like my foot bent. it hurt to flex my toes up but now it just hurts when i put a lot of weight on it.
I have been diagnosed with neuroma,I might need surgery,I would like info on surgery.I had surgery for tarsal tunnel and was painful .Is surgery for neuroma just as bad.I am in pain and pondering if I want surgery or live with the pain,. And what is recovery time for surgery for neuroma,weeks or momths?
my foot hurts from the bottom below my 5th and 4th toe when i put weight on that side. but no numbness. could this still be what i have? i was injured and did not just occur out of no where
I am two days out from having this surgery-and I was willing to take this risk! The pain was just too much! Had mine under the fourth toe right foot. Who'd think a stupid toe could hurt so bad! I had tried everything. Surgery was last resort.
I’m thinking of having the surgery but I’m very scared, I’m 57 years old,my neuroma is between the second and third on both feet ,I’m wondering how long it took to recover ?,I’m a hairstylist , when do you think I can go to work ?
Can you answer me please because I’m very petrified !!!!!!!
I had an op for what was thought to be Morton's neuroma. Turned out to be trapped nerve. They went in on the sole of my foot. This was five weeks ago. My wound hasn't healed yet and it is still very painful and sore. I don't have the nerve pain most of the time, but I can't walk and the top of the skin does not meet and is still quite sore. Not sure if this is normal. Don't go back to hospital until 14th Aug. Does anyone know if this is normal? I have been to doctors and seen nurses but no joy.
Ugh...Thanks for the video. I think this is what I have. I'm a runner of 12 marathons and run 50miles/week. The pain is is on my left foot, 3rd toe on the inside part close to the 2nd toe. It's a radiating shooting pain like a shock and doesn't happen on every single step. Almost as if it takes a few steps break, then shoots for a few steps, stops. It is excruciating. I have stopped running, since it is impossible. Will this go away with rest, ice and anti inflams or am I dreaming?
I can agree that natural is often better than synthetic. I feel that medicine has much "overuse" as an industry, but I do not feel as if the medical profession is entirely tailored towards deceit. Nerve pain is one of many conditions which must first be understood from patient to patient. Many people do well with subtle life style or activity changes. MOST do well without surgery. Doctor's (in large) do not aim to deceive; that's all. Your and my opinion may not agree, so be it.
Nerve problems and related surgeries are unpredictable. Recovery times can vary from person to person. Several weeks to several months is what many surgeon's will repot. "Your Milage May Vary (tm)"
Walking barefoot may cause some problems of its own. I advise all my patients with caution when deciding barefoot training methods.
I think that you should seek a formal workup from a sports medicine or foot and ankle specialist. It could be more than just muscle cramps.
Hi, my name's Filipe and i'm from portugal...
I have pain on my left foot since 2009, i already met 11 doctors (phD) but they cannot help me, i have lot of exams but i need urgently someone in any part of the world that can help me...
you think you can?
best regards
filipe
@ThePhailed Just because I'm not dubstep, doesn't mean I'm not at least a little filthy....
I had a neuroma removed and took about a week to be walking again. My down side was I was later diagnosed with RSD/CRPS which causes more pain then I want to imaging. I need another neuroma removed but am fearful from the pain.
So surgery made it worse?
Nerve surgery in the foot, can be result if a variety of results, from patient to patient. There is no clear-cut way to determine this ahead of time, unfortunately. I always encourage people to try a comprehensive course of conservative care, first
@fmatbusiness It would be hard to help without actually seeing you. Why 11 different doctors?
@FTSfuckthesystemFTS I just hope you won't hold this against the system, as well
Well that's no fun..
I had it removed and it went well. Unfortunately, I later developed an infection that was resistant to meds, and now I have a central line (through my chest) and intense IV therapy for 6 weeks. I know I'm not the "norm", but I sure didn't expect this. And I did everything right! However there's always a small chance this can happen, and that's why patients have to sign consent forms, taking responsibility if it happens. Good luck to everyone.
Is it still there?
@@brocklesnar3802 No, but I have a bit of nerve damage in the area because of the infection. Not a big deal, and much better than before I had it removed.
@BecauseiBactracedit @FTSfuckthesystemFTS I'm sorry to disappoint you both... :-( hehe
I CLICKED THIS CAUSE IT SAID EXCISION. HOPING FOR MIND BLOWING MUSIC, I GET EDUCATION?! BLAH!
@FTSfuckthesystemFTS bahahaha right? xD
But this isn't filthy dubstep just filthy feet ! lol
Did nature invent youtube comments? You seem pretty comfortable with using that system.
I have a hard time believing that doctors are nutcase scams from someone who doesn't even practice what they preach.
If you'd like to have a REAL discussion about "barefoot" mechanics, then let's do. I just don't feel its fair or polite to accuse such inflammatory remarks over a topic that is irrelevant from the experience of your wife's pregnancy.