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Foot & Ankle Problems Message Board
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Old 02-10-2005, 04:51 PM   #1
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river525 HB User
Help??

I have a few questions and if someone could answer one or all that would be great.

I have a Morton's Neuroma and have already done the cortisone, pad inserts, expensive new shoes, etc. So now I'm ready to have it operated on. I'm going to the dr. on Monday.

First I am seeing an orthopaedic doctor for this - should I see a podiatrist?

When they do surgery on the foot for this problem are you awake? YIKES


I'm assumming this is an outpatient type of thing, right?

Do they go through the bottom of the foot or the top? What are the pros and cons of either.

What is the recovery like? Am I on crutches, if so for how long.

Any help would be much appreciated - I just like to be prepared when I go see my doctor. Thanks!!

 
Old 02-11-2005, 12:03 PM   #2
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Re: Help??

Hi,

I had liagament release surgery which was to get a trapped nerve from between a liagment. Same procedure for Morton's Neuroma surgery.

I had the surgery done by an orthopedic surgeron. PErsonally I think you should get a foot specialist/ surgeon.

I had a spinal during the surgery, so I was awake. This means that I was numb from the waist down. It was my preference. But you can get a local and they will put you out. It is an outpatient surgery.

The incision was on top of my foot approx 1.5 inches long. Bottom of the foot will take longer to heel.

Because I had the liagment split. I was on crutches for approx 2 weeks.

Hope this helps.- Here is a bit more for you....

The dorsal approach involves making an incision on the top of the foot. This approach permits the patient to walk soon after surgery because the stitches are not on the weight-bearing side of the foot. The podiatrist maneuvers the instruments carefully through many structures and cuts the deep transverse metatarsal ligament, which typically causes most of the nerve compression. This procedure can lead to instability in the forefoot that may require attention in the future.

The second procedure involves a plantar approach, in which the incision is made on the sole of the foot. The patient must use crutches for about 3 weeks and the scar that forms can make walking uncomfortable. The advantage of the plantar approach is that the neuroma can be reached easily and resected without cutting any structures.

Surgical Complications

The surgical area contains very small blood vessels, nerves, and muscles and complications can occur. Once the neuroma is removed, the empty space may fill with blood, resulting in a painful hematoma. There is a risk for infection, necessitating careful monitoring by the podiatrist and patient. If the incision site becomes warm or red within a day or two after surgery, or if the patient runs a fever, the surgeon must be contacted immediately.

Recurrence is another possibility. The stump of nerve remaining after resection can begin to grow again. If this occurs, the nerve grows in width and length, creating a burning pain that can be treated by injection or further surgery.

Last edited by CJBermuda; 02-11-2005 at 12:05 PM.

 
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Old 02-11-2005, 03:13 PM   #3
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river525 HB User
Re: Help??

Thanks so so much for the information.

I feel like I am better prepared now for my doctor's appt this Monday.

 
Old 02-11-2005, 06:55 PM   #4
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lady neon HB User
Re: Help??

Hi- I had a neuroma removed from the 2nd interspace on my right foot last April. I also had an osteotomy preformed at the same. Each Dr. is different with their recovery instructions so its best to follow what your Dr. advises. Some questions that I asked my Dr. were how many of these procedures have you done? and what percentage of those result in a stump neuroma later? How long will I be off work? I stand at work all day so I went back around 8wks. Still after 8wks it was very painful for a few wks. I also asked about the scar since I like to wear sandals in the summer. He told me that it would be rather long, but would fade in a year or so. My scar is a little longer than my thumb and is just finally starting to lay flat and fade.

Be very wary of any Dr that tells you that you will be 100% in less than a year. That wont happen. It does take a long time. Its been a little over 9mos for me and if I'm on my feet for a while it gets really achey. When I first started reading this board I got a little scared when I'd see people posting that their Dr. said they'd be good as new in 4 to 6 weeks. My Dr was very straight forward with me as far as what to expect.

Also if the neuroma is actually removed the numbness is permanent. I had two opinions before I consented to the surgery and both Drs. (both foot surgeons) agreed that it should be removed, and that the release surgery is just a temp. fix and usually leads to removal anyways. My Dr went through the top of my foot. He explained that going through the bottom would be easier for him since the neuroma is closer to the bottom, but going through the top would be easier on me, for the recovery.

I was not awake for my surgery. I didnt want to hear any noise that he might make taking bone out of my foot. I just asked for a seditive and thats about all I remember. Good luck to you and let us know what you decide. If you have any more questions ask away

Kathy

 
Old 02-13-2005, 04:02 PM   #5
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river525 HB User
Re: Help??

Kathy - thank you sooo much for your report and advice. I'm infact going to print it out to take with me tommorrow to the dr. so I can ask and let him see what I'm learning about this.

From what I have been reading I also am hoping he will go through the top of my foot and to remove the nerve completely.

Mine is also the 2nd interspace so we have that in common. I will let you know what happens after my appt.

Thanks again.

 
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