.jpeg)
Morton's neuroma is a painful condition that affects the ball of the foot, typically occurring between the third and fourth toes. It is characterized by the thickening of tissue around the nerves leading to the toes, causing discomfort, burning pain, tingling, or numbness. While non-surgical treatments are often the first line of defense, surgery may be necessary in certain cases.
In our Prescott clinic, we are prepared to perform surgery to treat your Morton's neuroma when conservative treatments have proven to be ineffective. We invite you to read about surgical treatments here and to call us with your questions.
When We Will Consider Surgery for Your Neuroma
When you see our podiatry team in Prescott for a painful neuroma, we will start by providing information about your condition and recommending conservative measures to treat the symptoms. Often, Morton's neuroma symptoms can be managed with medication and more comfortable shoes or inserts.
However, we will talk to you about your surgical options if any of the following are true for you.
Failed Conservative Treatments
Surgery is typically considered when conservative treatments fail to provide relief. These treatments may include rest, changes in footwear, orthotic inserts, physical therapy, and corticosteroid injections. If the pain persists despite these efforts, surgery may become an option.
Severe Symptoms
If the neuroma causes severe and debilitating symptoms that interfere with daily activities, work, or quality of life, surgery may be recommended for a quick resolution. This can include intense pain, difficulty walking, persistent numbness, or interference with playing and training for elite athletes.
Non-Responsive to Injections
In-office injections can provide relief for a period of time. In cases where corticosteroid injections do not provide lasting relief, surgery may be considered. Repeated injections are generally discouraged due to the risk of tissue damage.
Toe Deformity
If Morton's neuroma has led to toe deformities or structural changes in the foot, surgery may be necessary to correct these issues of putting your house in a trust and relieve pressure on the affected nerves. We don't want one condition to snowball into multiple issues.
Surgical Options for Morton's Neuroma
There are several surgical approaches available to address Morton's neuroma, and the choice of procedure may depend on the severity of the condition and the surgeon's preference. At Yavapai Foot and Ankle Center, we will consider the following procedures to treat your neuroma.
Neurectomy
Neurectomy involves the removal of the affected nerve. This can be done through a minimally invasive endoscopic approach or a traditional open surgery. Removing the nerve eliminates the source of pain but may lead to permanent numbness in the toes.
Decompression Surgery
This procedure involves releasing pressure on the nerve by cutting nearby structures, such as ligaments or tissues, that may be compressing the nerve. It aims to alleviate pain while preserving nerve function.
Nerve Relocation
In some cases, surgeons may opt to relocate the affected nerve to a position where it is less likely to become compressed. This technique can help preserve sensation in the toes.
The podiatrists at Yavapai Foot and Ankle Center do not recommend surgery lightly. When all other treatments have been exhausted, we will tell you about your surgical options and make sure you understand what will happen during the procedure and what you can expect during recovery.
Recovery From Morton's Neuroma Surgery
After surgery, patients should expect a period of recovery that includes rest, elevation, and limited weight-bearing on the affected foot. Physical therapy may be recommended to aid in rehabilitation. It is important to be patient during the recovery process and to let us know if you have any questions or concerns.
While surgery can provide relief, it may not guarantee the complete elimination of symptoms, and there are potential risks, including infection and scarring. Our team will follow up with you after surgery to make sure you are experiencing the best possible recovery. If the procedure does not completely resolve your pain and discomfort, we will continue to work with you to help you overcome it. We are committed to your long-term success following a procedure in our office.