The goal is to reduce the squeezing action by the metatarsals and remove the irritation on the nerve by the ligament. Intermetatarsal ligament release (decompression): This is a simple operation to release the ligament between the metatarsal bones.Other types of procedures for Morton’s neuroma include: The dressing should be kept on until the first post-operative office visit, which is usually 10 to 12 days after surgery, when your surgeon will change or remove it. The dressing holds the foot securely in place, much like a cast, to allow healing. The wound may be closed with an absorbable suture or with stitches, and the foot is wrapped in a compressive dressing. A portion of the involved nerve is also removed (neurectomy).
#WORT ON TOP OF TOE FREE#
The neuroma is dissected free of the nerve to which it is attached and excised. Your surgeon will continue the incision deeper between the metatarsals (the bones behind the toes) to locate the neuroma. Traditionally, the incision has been done on the dorsal side, or top, of the foot, although it can be done using a plantar approach (through the bottom of the foot). To remove a neuroma, a small incision is made in the web space between the two affected toes. IV sedation requires the assistance of an anesthesiologist to administer the medication and monitor your vital signs. How Is Morton’s Neuroma Excision Performed?īefore the surgery, you may be given some form of sedative anesthesia, and a local anesthetic will be injected into the affected area of the foot. On the day of your surgery, arrive on time and have someone drive you to and from the doctor’s office, or arrange for someone to pick you up. Make sure you understand the risks and benefits of the surgery and discuss any concerns with your surgeon. You may have to refrain from taking aspirin and NSAIDs for one week prior to surgery and refrain from eating or drinking anything after midnight the night before surgery. You will need to complete any pre-operative tests or laboratory work prescribed by your doctor. Preparing for Morton’s Neuroma Excisionįollow your surgeon’s instructions regarding preparation for surgery. Surgery is rarely needed for people suffering from Morton’s neuroma, and alcohol injections-direct injection of dilute alcohol (4%) into the area of the neuroma-are successful in most cases. Your podiatrist may discuss surgical treatment options with you if your symptoms have persisted or worsened after trying multiple conservative treatments. When Is Morton’s Neuroma Excision Appropriate? Morton’s neuromas in both feet can be corrected at the same time, or in two separate procedures. It is an outpatient procedure, which means that you are able to go home the same day. Surgery to correct a Morton’s neuroma can be done in your podiatrist’s office with local anesthesia or with IV sedation and local anesthesia. The outcome may depend on the location of the neuroma, and on which web space is affected. While surgery is successful in many cases, the reported long-term outcomes of neuroma excision vary. Other complications associated with this surgery are described below. Most patients who undergo a Morton’s neuroma excision, in which the neuroma and part of the nerve are removed, will experience complete relief from pain but will suffer some permanent numbness of the adjacent toes. If conservative treatment does not relieve your symptoms, however, you may require a Morton’s neuroma excision.
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