Wednesday, April 17, 2024

Recovery From Morton’s Neuroma Surgery

The Day Of Your Surgery:

Mortons neuroma surgery recovery part 5

When you have recovered from the anesthetic, normally you can get up and walk freely in a special sandal that will help protect the operation site. If it is a “re-do” surgery, then your walking may be limited on the same day as surgery. Your foot and ankle will be securely bandaged to protect it and to reduce the swelling. The gauze bandage which is applied in the operating theatre will stay on for two weeks. There will not be a plaster cast. You must keep your foot elevated. Most patients can go home on the same day as the surgery.

What Anesthesia Is Needed For Foot Neuroma Surgery

Mortons neuroma surgery is performed as outpatient surgery . It may be performed in a hospital, ambulatory surgery center and even in the doctors office .

The surgery can be performed under a local, regional, spinal or general anesthetic. Local and regional blocks, with monitored anesthesia care are most commonly performed. This means that the foot will be numbed with an anesthetic while an anesthesiologist provides sedation to relax you.

What Are The Risks Of Neuroma Surgery

Just as any other surgery, neuroma surgery has general risks.

  • Complications may occur with any surgery and are not necessarily your fault, or the fault of your surgeon. Nonetheless, you should understand the risks.
  • Neuroma surgery complications include, but are not limited to: infection, pain , swelling, hematoma, bleeding, blood clot, poor wound healing, incision breakdown, poor bone healing , nerve injury, disability, recurrence, scarring, stiffness, weakness, hardware problems, need for revisional surgery, and/or catastrophic loss.

Local Foot Doc

You May Like: Life Expectancy After Parathyroid Surgery

What Should I Do If I Have A Problem

If you experience any of the following symptoms, please contact Mr Limaye, the ward or your GP:

  • Increasing pain
  • Increasing redness, swelling or oozing around the wound site
  • suspect you have DVT – symptoms include pain and/or burning in the back of your lower leg. You may also feel unwell and have a temperature.

If, at any time in your post-operative recovery, there is any sign whatsoever of infection, either suspected by you or diagnosed by your GP, please contact your consultants secretary at the hospital.

What Happens During Mortons Neuroma Surgery

Whispered comfort: Foot surgery

Mortons neuroma surgery can be done as a day surgery procedure unless you have other medical problems that mean you may need to stay in hospital overnight. The surgery is performed under general anesthetic. A cut is made over the top of the foot, at the base of the affected toes. The operation involves removing the part of the nerve that is causing the pain and discomfort. The foot and ankle are then bandaged.

Read Also: Physician Assistants In Orthopedic Surgery

What Happens After The Surgery

WEEKS 0-2You will have post operative bandaging on your foot but will be able to walk fully weight-bearing in a post operative sandal. Although crutches maybe used they are not necessarily needed. In this time it is important to keep the leg elevated above heart level as frequently as possible although you should not be confined to bed.You can go to work after a few days if your work is sedentary and desk based and your commute is not difficult.

WEEKS 2-6You will be seen at the two week mark for removal of the bandaging and a wound inspection. At this stage it is likely that you will be able to graduate to normal shoes although a pair of trainers or comfortable and wide fitting shoes are advised.There would be residual pain and swelling that would be ongoing but gradually improving.

WEEKS 6-12The postoperative pain and swelling will slowly resolve in this period and you are able to return to most of your day to day activities although return to sports or high impact activities may only be possible towards the end of this period.

What To Expect From Neuroma Surgery

by cwswp-7745 | Jan 21, 2019 | hammer-post

The main goal of neuroma surgery is to remove the painful nerve that has become traumatized in-between the toes. As the nerve is being removed, it is expected that there will be permanent numbness in-between the toes. Most of the time, this sensation of numbness is preferable to the pain symptoms caused by the nerve.

Typical neuroma surgery is done in an outpatient surgical facility with IV conscious sedation. Your surgeon will most often make an incision on the top of the foot, though in some cases the incision is done from the bottom.

After surgery, walking is usually allowed immediately in a protective post-operative shoe or boot. This is used mostly to accommodate for the thick bandaging. Skin sutures are removed 2 weeks after surgery, and once removed normal bathing with foot immersion is allowed. It is normal to have zinger-like pains in the area of the surgery for several weeks or months afterward.

Activity after surgery will be limited, and tenderness in the ball-of-foot is expected. Your walking will be slowed down for several weeks. For exercise, a stationary bike or swimming is typically safe after the sutures have been removed. Load-style activity like walking or running is usually not comfortable until closer to 6-12 weeks post-op.

Recent Articles

Recommended Reading: How To Get Time Off Work For Bariatric Surgery

How Will My Treatment Be Organized At Gelenk

During your inpatient stay at Gelenk-Klinik you will have a single-occupancy room. The room has a bathroom with shower and WC. All rooms include towels, a bath robe and slippers. They further include a mini-bar and safe. All rooms also have a television. You only need to bring your personal medication, comfortable clothes and sleepwear. After surgery you will receive 24-hour care from experienced nursing staff and experienced physiotherapists. The inpatient stay following the procedure is typically 3 days. Your family members can stay at a hotel within walking distance. We will gladly take care of making the reservations.

Will I Feel Any Pain

Morton’s Neuroma Surgery Recovery

There will be some pain after the surgery. While you are asleep local anesthetic may be injected into your foot to reduce the pain after the operation even if you go to sleep for the surgery. You will be given medicines to take home to control the pain. The nurse will go through the medicines with you, including how often and when to take them. There will be a combination of strong and weak pain killers.

If your pain does not settle, you can either be reviewed in your scheduled outpatient appointment, contact Mr Limaye or the ward or you should seek further advice and management from your GP.

Read Also: How Much Does Gyno Surgery Cost In Canada

We Generally Advise Against Mortons Neuroma Surgery Because:

  • Effective other treatments. We can effectively treat Mortons neuroma without surgery, and the recovery time from our procedures is only a couple of days.For more information on the non surgical options we offer to treat Mortons neuroma,
  • Complications. Surgery for Mortons neuroma is often associated with complications, most commonly post surgical pain. In many cases the post surgical foot pain may be as bad or worse as the foot pain before surgery. Some studies have shown that up to 35% of patients who have surgery end up with unacceptable levels of post surgical pain.
  • Post Mortons neuroma surgery foot pain is much more difficult to treat than pre surgery Mortons neuroma foot pain because the exact cause of your pain after Mortons neuroma surgery can be difficult to determine. It can even be difficult to localize the exact position of your pain after surgery! Post Mortons neuroma surgery pain can be due to a stump neuroma, nerve degradation, scar tissue or another post surgical complication. For more information on pain after Mortons neuroma surgery , .

  • Foot instability. Most first time Mortons neuroma surgery is done through the top of the foot which involves cutting through the the transverse metatarsal ligament. Although this results in a shorter recovery time than operating through the bottom of the foot, it results in more post operative foot instability, with forefoot splaying and potential long term gait problems.
  • How Long Is Recovery After Mortons Neuroma Surgery

    Recovery from Mortons neuroma surgery takes up to 3 months in total. The first two weeks are about keeping your wound clean, your foot elevated to reduce swelling, and general rest. After this, you can commence Physical Therapy for 6-12 weeks. This involves massage, strengthening, and mobility exercise. Custom Orthotics may be recommended to address any biomechanical causes of the neuroma to reduce the risk of it returning.

    You May Like: Bariatric Surgery Weight Loss Calculator

    What Can I Expect After Mortons Neuroma Surgery

    Your foot is normally fully bandaged after Mortons Neuroma Surgery. You are normally prescribed some pain relief by your surgeon. You can walk on the first-day postoperatively using an orthopedic shoe, with full weight-bearing if tolerated. The bandages are normally kept in place for 2 weeks until your stitches are removed and at this stage, you normally commence foot rehabilitation with a Physical Therapist.

    You do not need crutches after Mortons Neuroma surgery as you can fully weight bear in an orthopedic show however you may use some if you feel unsteady on your feet.

    In the first few weeks post-op, you should keep your foot elevated as much as possible to reduce swelling. After two weeks you may return to non-impact activities such as static biking or swimming to help reduce swelling.

    How Long Does It Take To Recover

    NOTE TO READERS: I am writing this post for other sufferers of Morton

    After your surgery, your foot and ankle will be bandaged, and these bandages remain on for two weeks. You will be shown how to walk in your special orthopaedic shoe, which protects your foot. Most patients are able to go home on the same day as their operation.

    You should try to rest your foot, keeping as much weight off it as possible, and keeping it raised above the level of your heart whenever you can, especially in the first week after your operation. Once this week has passed, your pain levels should have reduced greatly. Depending on your job, you may be able to return to work during the second week after your operation.

    Around two to three weeks on, you can return to sporting activity, starting with low impact exercise and gradually increasing your activity level.

    Recommended Reading: Type 2 Acromion Shoulder Surgery

    Waiting For Your Operation:

    Please note that you may not be the first patient on the operating list and therefore have a variable amount of time during which you will be waiting to go to theatre how long will depend in your place on the list. If you are the last patient to be scheduled for surgery, it may be up to three or four hours you should therefore come prepared for a wait. Some reading material is provided by the day care unit but we appreciate a wait of several hours can be tedious as such you may wish to bring a book, some work or other material to keep yourself occupied. Or just relax, unwind and enjoy a good movie.

    Should I Expect Pain After Morton’s Neuroma Surgery

    Every procedure causes pain. We always strive to keep pain after Mortons neuroma surgery as low as possible. The assigned anaesthetist will already start pain management during the procedure. In many cases the anaesthetist uses a so-called nerve block during surgery, which keeps the respective foot pain free for approx. 30 hours. This already manages the greatest wave of pain, which can then be easily treated with regular medication. Our goal is for you to experience as little pain as possible after surgery.

    Recommended Reading: Ear Nose Throat And Plastic Surgery Associates

    Orthopaedic Surgeon And Foot And Ankle Specialist For Morton’s Neuroma At Gelenk

    Here at Gelenk-Klinik, a close relationship between the physician and their patient is important. This means: You will be in the care of your treating physician from the initial examination until after surgery. 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. Our experts in foot and ankle surgery are the experienced specialists Dr. Thomas Schneider and Dr. Martin Rinio. Theyre certified foot and ankle surgeons whose continuing education, diagnostics and surgical quality is reviewed annually by an independent German professional society . The orthopaedic Gelenk-Klinik is therefore a speciality centre with the title “Centre for foot and ankle surgery” .

    When Can I Start To Drive Again

    Post Morton’s neuroma surgery pain: full testimonial

    The DVLA states its the responsibility of the driver to ensure they are always in control of the vehicle. A good guide is if you can stamp down hard with the foot during an emergency stop and this will usually take at least four to six weeks. Although your specialist will advise you about when its safe to start driving again, it remains your responsibility to drive safely and you should also check with your vehicle insurer to confirm you are covered.

    Read Also: Plastic Surgery Before And After Face

    What Is Mortons Neuroma Surgery

    Mortons neuroma is a painful swelling or irritation of the nerve that runs between the long bones of the foot . When this nerve becomes enlarged it causes pain in the ball of the foot that radiates to the toes and some time presents an tingling and numbness of toes. It is most common between the third and fourth toes but can afftect other toe spaces as well.

    The surgery aims to remove the neuroma to relieve the pain.

    Why Traditional Mortons Neuroma Surgery Fails

    A Mortons neuroma is not a true neuroma, but orthopedic surgeons, podiatrists, etc. are not aware of that. A Mortons neuroma is, in fact, just a compression of the common plantar digital nerve between the metatarsal heads where the nerve passes under the transmetatarsal ligament. This compression point often produces some swelling in the nerve, which is then misinterpreted on an ultrasound or MRI as a true neuroma.

    The correct treatment for this type of nerve compression is to surgically decompress the nerve by dividing the transmetatarsal ligament and any other tissue that is compressing the nerve. Traditional teaching, unfortunately, has been to cut out the swollen nerve and letting the proximal end of the nerve retract back up into the foot. Sometimes this works, and sometimes it doesnt.

    Patients who undergo a traditional Mortons neuroma excision that does not alleviate their symptoms will often undergo further attempts to kill the nerve with alcohol injections. They may even try multiple additional surgical procedures, each time cutting the nerve back a little bit more. The painful neuroma will invariably reform, however, and the patient will often experience worse symptoms as time passes. These patients can become absolutely debilitated over time.

    You May Like: Should I Have Weight Loss Surgery

    The Pros And Cons Of Neuroma Surgery

    Have you ever gotten a pebble stuck between the bottom of your foot and your shoe? Or how about an irritating fold or bunch in your sock that you had to take off your shoe to smooth out? If so, you probably have an idea of what a Mortons neuroma can feel like.

    Of course, if you already have a neuroma, then you live with this irritation every day. And no amount of smoothing out your socks or shaking out your shoes can make it go away.

    As with many progressive foot conditions, there are two broad treatment categories we can pursue for a neuroma: conservative and surgical.

    If youre reading this blog post, chances are good that youre starting to explore whether the latter may be a good option. While it cant take the place of a professional evaluation, we hope you find the information useful as you weigh your choices.

    But before we get into the pros and cons, lets address an important prerequisite:

    Are There Any Alternatives

    Before and after surgery x

    Simple non-surgical measures, as detailed above, should be tried before undergoing surgery.

    You should make arrangements to be collected from the hospital. Most of the time your operation will be done as a day case. You will need some time off work after the surgery. This will be at least 2-4 weeks but maybe longer if you have a manual job. Mr Limaye will discuss this with you. We advise you speak to your employer before surgery to make plans.

    Also Check: Is Deviated Septum Surgery Covered By Insurance

    Do I Need Physical Therapy After Mortons Neuroma Surgery

    It is recommended to have Physical Therapy after Mortons Neuroma surgery to address any tightness or weakness in the foot and leg. This is often combined with balance exercises, recommendations on footwear, and sometimes custom insoles.

    Physiotherapy with James McCormack

    This is not medical advice and we recommend a consultation with a medical professional such as James McCormack to achieve a diagnosis. He offers Online Physiotherapy Appointments for £45.

    Other Related Articles

    What Complications Are Associated With Mortons Neuroma Excision

    The most common complication of Mortons neuroma excision is numbness in the toes, which may be permanent and can cause problems with footwear. 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.

    This can cause numbness, tingling, or pain similar to what you had before the surgery. Other possible complications include wound infection and delayed healing, worsening of pain, and recurrence of the neuroma.

    Medical References:

    This page was last updated on January 1st, 2016

    Read Also: Average Workers Comp Settlement For Surgery

    All About Mortons Neuroma Surgery

    When all other measures have failed to relieve pain, open surgery may be necessary to remove the neuroma. It is critical that Mortons neuroma surgery be performed by surgeons who have considerable expertise and experience in this surgery because in some cases, Mortons neuroma surgery can result in increased foot pain or even the return of the neuroma.

    With the most common approach, your surgeon will make a small incision on the top of your foot over the third web space. After dissecting through the tissue, the transverse metatarsal ligament is cut, to take pressure off the nerve and to allow the surgeon access to the neuroma. In most situations, the nerve itself with the resulting neuroma is removed. The incision is closed, and the patient is taken to recovery. With this approach, you can bear weight on your foot post-operatively, however it still takes 3-4 weeks to fully recover.

    Other less frequent approaches include the plantar approach With the plantar approach, the surgeon has less tissue to dissect, and he is able to preserve the ligament, leading to better foot stability in the long term, but recovery is slow and you are unable to bear weight for 2 to 3 weeks until the sutures are removed. It can take 4-6 months of painful recovery to fully recover from a plantar approach Mortons neuroma surgery.

    Surgical treatment of Mortons neuroma is can be effective when perfumed by an experienced practitioner, but it comes at the cost of some risks and possible side effects.

    Latest news
    Related news