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    Old 10-05-2006, 02:44 PM   #1
    audioboxer15
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    Exclamation Morton's neuroma surgery!!

    Hey, I'm new here.. I'm a senior in high school and on my school's rowing team, and have been experiencing complications with a neuroma in my left foot for about 9 months now. It's been a huge problem because rowing is a sport where you are constantly pushing off with your legs, not to mention we do a lot of running and ergometer training. I had a cortisone shot in February of this year, but my problem came back by the spring and now it's worse than ever.

    My doctor said the only thing I can really do now is get surgery. Fall crew season ends in early November, and winter season begins after the new year. If I get the surgery in mid- to late November, should I be ready for weight lifting and erg training by early January?

    Also, what are the complications with this surgery? The pain is really getting in the way of my athletic performance, but the last thing I want is to have this surgery in the middle of the year and be forced to sit out all winter and spring season of my senior year because of a fluke in my surgery.

    Thanks so much to anyone who can help me.

     
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    Old 10-05-2006, 03:09 PM   #2
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    Re: Morton's neuroma surgery!!

    There is much information that you need. Where are you and what kind of doctor did you see? It needs to be a sports med doc - whether ortho or podiatrist. This is quite often an athletic injury and needs to be treated as such. I had one removed almost 5 years ago. Considering the recovery time, you might want to put it off till after the final season. It will take up to a year for it to COMPLETELY heal. That being said, you'll be able to a lot at 2
    months but it may not be what you need to compete.

    Next, the cortizone shots will do nothing for this condition other than as a diagnostic tool to determine that you really do have a neuroma. Alcohol injections, 3-4 over a couple of week time span might help. Otherwise, it needs be removed.

    DO NOT have a ligament release nor a nerve decompression. Only have it removed. And only by someone who has done a lot of these and who has a good success rate for it. Ask around. If you are in a town with a pro football or basketball team or a 1-A college athletic program, find out who they use for this. And be specific when you call the front office or athletic department. Don't ask who they use for feet - ask who they use for Morton's Neuroma.

    In the mean time, you might also try a pad in your shoe. I got one from my doc and it worked for a while. Eventually, I had to have it removed. Rowing doesn;t concern me so much as you can find a way to do that...it's the running that's going to be problematic. You might have to switch to an elliptical machine for a while...something where you don;t "pound" on the area.

    Keep us posted and good luck!

     
    Old 10-10-2006, 09:53 AM   #3
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    Re: Morton's neuroma surgery!!

    I agree with Titchou!!!

    DO NOT GET Liagament release surgery. Take it from someone who is still suffering 2 years later. Now I need to have the nerve portion removed...

    Keep us posted....

     
    Old 10-14-2006, 09:19 PM   #4
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    Re: Morton's neuroma surgery!!

    I would highly suggest that you don't have another cortisone injection, even if your doctor says it will help your condition. Cortisone has the potential of causing atrophy to soft tissues, meaning that the fat pad in your foot could become thinner, and this is that last thing you want to happen.

    Also, I don't believe that a cortisone injection can be used as a tool for diagnosing a neuroma, as Titchou stated. I've done a lot of research into cortisone injections.

    If you're going to put off getting neuroma surgery, definitely make sure you wear comfortable shoes (no high heels) with good cushioning for your foot. Try to avoid activities that put a lot of pressure into the ball of your foot...that's not going to be easy with the type of sport you participate in, however.

     
    Old 10-15-2006, 06:53 PM   #5
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    Re: Morton's neuroma surgery!!

    Dr. Brodkin in TX, Drs Gottfryd and Gould in AL all use cortisone injections as an aid to diagnose neuromas. I got this directly from them...not reading about it.

     
    Old 10-15-2006, 09:07 PM   #6
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    Re: Morton's neuroma surgery!!

    Well first of all, I'm pretty sure the cortisone was not used to diagnose the neuroma in my case. My orthopedist diagnosed it before I had the shot, but he thought it was only tiny and the pain would fade after I had the cortisone. Of course it ended up being a bigger problem than he anticipated. When I went back (the same appointment at which he suggested surgery) he asked if I wanted another shot just for the pain, but I chose not to get one because it wasn't really worth it the first time.

    I'm also definitely not getting that ligament surgery if I do get surgery done. My orthopedist said they were just going to cut the nerve out completely. I have my appointment with the specialist to discuss surgery on November 6, the day my crew season ends, I'll keep you posted

    Oh but I have one more question...how probable is it to have neuromas in both feet?

     
    Old 10-16-2006, 06:24 AM   #7
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    Re: Morton's neuroma surgery!!

    They can diagnose it from the "clicking" when they manipulate the foot (squeeze it). The cortisone injection is in addition to that as a diagnostic tool. If it takes care of the problem permanently, then it wasn't a neuroma. If it doesn/t, then it is. And yes, you can have one in both feet...kind of unusual but not unheard of. Good luck!

     
    Old 11-07-2006, 12:11 PM   #8
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    Re: Morton's neuroma surgery!!

    Well I have had my appointment, and I am getting my neuroma removed on December 6. My doctor was extremely nice and has done thousands of these surgeries so I feel really comfortable about it. The best part is that he says I won't need crutches and that I'll be free to exercise and do whatever I want in two weeks post-surgery, which is perfect because I didn't want to miss too much of my off-season lifting/workouts. I can't wait to get back to training, pain-free

     
    Old 11-07-2006, 07:59 PM   #9
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    Re: Morton's neuroma surgery!!

    2 weeks sounds very optimistic. The healing times could vary dramatically, from 6 weeks to longer. I would suggest that you ask your doctor if you could speak to a couple of patients who have had the surgery. Many patients have reported that their podiatrists were very optimistic. Better to have realistic expectations.

     
    Old 11-07-2006, 09:20 PM   #10
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    Re: Morton's neuroma surgery!!

    To be quite honest, my doctor told me the actual complete healing time was 12-18 months. And it was right at 12 months before I NEVER noticed any issues. You will have swelling for quite some time...off an on. The healing with this surgery is not linear but up and down. In other words, it can feel great for a few day and then not so good. it's a nerve that has to heal so...
    And yes, you should be able to walk out of the hospital but you will have swelling that you will have to learn to deal with...slowly put your weight down evenly on that foot each time you start to walk. This may take as mch as a minute or two to accomplish....especially in the first week or so. Take is slowly. I was at work the next day but it was very slow going...but never took anything more than Aleve for pain. Good luck!

     
    Old 11-08-2006, 05:44 AM   #11
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    Re: Morton's neuroma surgery!!

    Are you going to have the surgery thru the top of the foot or thru the bottom? Mine was thru the bottom, good thing , it was soo big it would have been hard to get it out thru the top. healing time for bottom is much longer as you can't put weight the foot. I also had another type of neuroma develope on the top of the foot. It's not normal, but it can happen. Hope it goes well for you, and keep us posted.
    Mary

     
    Old 11-08-2006, 08:30 PM   #12
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    Re: Morton's neuroma surgery!!

    Thanks for all your honest answers.. I'm really hoping for the best with this. It was a hard decision to make (whether or not to do the surgery) because I don't want to ruin my senior rowing season, but the pain is pretty intense as it is so the surgery is a risk I'm willing to take. I'll let you all know how it goes.

     
    Old 11-17-2006, 10:39 AM   #13
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    Re: Morton's neuroma surgery!!

    Hello All,

    I've been reading this thread about neuromas with interest as I've recently been diagnosed with one, and had a cortisone shot 2 days ago. Still swollen and uncomfortable, so hope tomorrow is better! The doc told me he usually only does 1 cortisone shot, then moves to surgery. He does endoscopic decompression; releases the ligament instead of removing the nerve. I notice a couple of you say DO NOT do this; I'm curious why? The doc portrayed it as the latest, less invasive surgery, preserving the nerve. I wonder how the ligament is released? I've read that it causes shifting and clicking in the bones of the feet. Any info greatly appreciated. Becky

     
    Old 11-17-2006, 11:30 AM   #14
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    Re: Morton's neuroma surgery!!

    Morton's neuroma usually involves a nerve which has been traumatized over a long period of time with subsequent damage and scar tissue. When the deep transverse metatarsal ligament is cut, you are still left with an abnormal painful nerve. In my case the nerve had settled into a cozy spot surrounded with protective tissue. As soon as the ligament was cut the nerve moved around and the pain was unbearable. After that I had the nerve removed, sent to a lab, and sure enough it consisted of abnormal tissue. Ask your doc if he/she is using the Koby method. This method is done "blind". Imagine having a sharp object near a nerve in an area you cannot see.

    Ask your doc how many of these he/she has done and then ask to speak with 3 patients. I found out the hard way that it is 'buyer beware' when it comes to electric podiatric procedures.

    I hope you find the best possible solution for your pain.

     
    Old 11-17-2006, 12:23 PM   #15
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    Re: Morton's neuroma surgery!!

    i've had several neuroma surgeries. don't do the ligament (koby) release. there is a ligament that goes basically across the front of the toes to connect them together and hold the foot in it's postition. when they cut the ligament they allow the two toes to loose that togetherness. i wish I never had itdone. I had the first neurmona removed because the lign. didn't work. it was removed from the bottom of the foot. from there I've had 4-5 other surgeries,on the foot. It was due to something totally different, just happened to have been set off by the surgery. after 11 days in the hospital, and 2 months on the vacpac I'm on the road to recovery. Just found out 2 days ago that it looks like I have developed a hugh neuroma in the 2nd main nerve in the bottom. Just had a cortizone shot and it is much better. I've had, over the last couple of years, about 20 of these shots. this is the best one yet. they don't cure it, but it can help with the swelling and pain. I don't recommend most people get that many shots. It can have a lot of side effects. I'm just weird.. but always, if you trust your doctor, listen to him..

     
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