Morton's neuroma surgery: Difference between revisions
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==Overview== | ==Overview== | ||
[[Surgery]] is the last resort in the [[Treatments|treatment]] of [[morton's neuroma]]. In some [[Case-based reasoning|cases]], [[surgery]] may be needed to remove the [[Thickener|thickened]] [[tissue]]/[[Affect|affected]] [[nerve]] in order to [[Help Menu|help]] [[Release (information centre)|release]] the [[pressure]] on the [[Affect|affected]] [[nerve]], [[Pain relief|relieve]] the [[pain]] and [[Improving agent|improve]] [[foot]] [[Function (biology)|function]]. [[Fewmets|Few]] [[complications]] [[after surgery]] are possible and include [[Permanent cosmetics|permanent]] nonpainful [[numbness]] if a [[Portion control (dieting)|portion]] of the [[Affect|affected]] [[nerve]] is removed | [[Surgery]] is the last resort in the [[Treatments|treatment]] of [[morton's neuroma]]. In some [[Case-based reasoning|cases]], [[surgery]] may be needed to remove the [[Thickener|thickened]] [[tissue]]/[[Affect|affected]] [[nerve]] in order to [[Help Menu|help]] [[Release (information centre)|release]] the [[pressure]] on the [[Affect|affected]] [[nerve]], [[Pain relief|relieve]] the [[pain]] and [[Improving agent|improve]] [[foot]] [[Function (biology)|function]]. [[Fewmets|Few]] [[complications]] [[after surgery]] are possible and include [[Permanent cosmetics|permanent]] nonpainful [[numbness]] if a [[Portion control (dieting)|portion]] of the [[Affect|affected]] [[nerve]] is removed, [[RiskMetrics|risk]] of [[Postoperative complication|postoperative]] [[infection]] around the [[toes]], [[Incision|incisional]] [[Sore|soreness]], [[scarring]], and [[Recurring dream|recurring]] stump [[Neuroma|neuromas.]] [[Morton's neuroma]] can be removed [[Surgery|surgically]] either via [[dorsal]] or [[plantar]] approach, with each approach having its own merits and demerits. [[Dependency ratio|Depending]] upon each [[Individual growth|individual]] [[Case-based reasoning|case]], [[Differentiate|different]] [[surgical procedures]] that can be [[Usage analysis|used]] for the [[Treatments|treatment]] of [[morton's neuroma]] include [[neurectomy]], [[cryogenic]] [[surgery]]/neuroablation, and [[decompression]] [[surgery]]. | ||
==Surgery== | ==Surgery== | ||
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** Other [[Therapy|therapies]] have [[Failure|failed]] | ** Other [[Therapy|therapies]] have [[Failure|failed]] | ||
** [[Symptoms]] persist [[Afterimage|after]] 9 to 12 months | ** [[Symptoms]] persist [[Afterimage|after]] 9 to 12 months | ||
* In some [[Case-based reasoning|cases]], [[surgery]] may be needed to remove the [[Thickener|thickened]] [[Tissue (biology)|tissue]]/[[Affect|affected]] [[nerve]] in order to [[Help Menu|help]]: | * In some [[Case-based reasoning|cases]], [[surgery]] may be needed to remove the [[Thickener|thickened]] [[Tissue (biology)|tissue]]/[[Affect|affected]] [[nerve]] in order to [[Help Menu|help]]:<ref name="pmid20539960">{{cite journal| author=Zanetti M, Saupe N, Espinosa N| title=Postoperative MR imaging of the foot and ankle: tendon repair, ligament repair, and Morton's neuroma resection. | journal=Semin Musculoskelet Radiol | year= 2010 | volume= 14 | issue= 3 | pages= 357-64 | pmid=20539960 | doi=10.1055/s-0030-1254524 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=20539960 }} </ref> | ||
** [[Release (information centre)|Release]] the [[pressure]] on the [[Affect|affected]] [[nerve]] by [[Wide and fast|widening]] the [[Space medicine|space]] through which the [[Affect|affected]] [[nerve]] travels | **[[Release (information centre)|Release]] the [[pressure]] on the [[Affect|affected]] [[nerve]] by [[Wide and fast|widening]] the [[Space medicine|space]] through which the [[Affect|affected]] [[nerve]] travels | ||
** [[Pain relief|Relieve the pain]] | ** [[Pain relief|Relieve the pain]] | ||
** [[Improving agent|Improve]] [[foot]] [[Function (biology)|function]] | ** [[Improving agent|Improve]] [[foot]] [[Function (biology)|function]] | ||
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* If a portion of the [[Affect|affected]] [[nerve]] is removed during the [[surgery]], [[Permanent makeup|permanent]] [[numbness]] occurs between the [[toes]], but it's not [[painful]] | * If a portion of the [[Affect|affected]] [[nerve]] is removed during the [[surgery]], [[Permanent makeup|permanent]] [[numbness]] occurs between the [[toes]], but it's not [[painful]] | ||
* There is a small [[RiskMetrics|risk]] of [[infection]] around the [[toes]] [[after surgery]] | * There is a small [[RiskMetrics|risk]] of [[infection]] around the [[toes]] [[after surgery]] | ||
*[[Incision|Incisional]] [[Sore|soreness]] | |||
*[[Scarring]] | |||
*[[Recurring dream|Recurring]] stump [[Neuroma|neuromas]] | |||
===Surgical Approaches=== | ===Surgical Approaches=== | ||
Following [[Two-dimensional|two]] [[Surgery|surgical]] approaches can be [[Usage analysis|used]]: | Following [[Two-dimensional|two]] [[Surgery|surgical]] approaches can be [[Usage analysis|used]]: | ||
Latest revision as of 15:26, 21 June 2019
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Morton's neuroma Microchapters |
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Diagnosis |
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Treatment |
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Case Studies |
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Morton's neuroma surgery On the Web |
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American Roentgen Ray Society Images of Morton's neuroma surgery |
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Risk calculators and risk factors for Morton's neuroma surgery |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Sara Mohsin, M.D.[2]
Overview
Surgery is the last resort in the treatment of morton's neuroma. In some cases, surgery may be needed to remove the thickened tissue/affected nerve in order to help release the pressure on the affected nerve, relieve the pain and improve foot function. Few complications after surgery are possible and include permanent nonpainful numbness if a portion of the affected nerve is removed, risk of postoperative infection around the toes, incisional soreness, scarring, and recurring stump neuromas. Morton's neuroma can be removed surgically either via dorsal or plantar approach, with each approach having its own merits and demerits. Depending upon each individual case, different surgical procedures that can be used for the treatment of morton's neuroma include neurectomy, cryogenic surgery/neuroablation, and decompression surgery.
Surgery
- Surgery is the last resort in the treatment of morton's neuroma and is advised when:
- In some cases, surgery may be needed to remove the thickened tissue/affected nerve in order to help:[1]
Complications after the surgery
- If a portion of the affected nerve is removed during the surgery, permanent numbness occurs between the toes, but it's not painful
- There is a small risk of infection around the toes after surgery
- Incisional soreness
- Scarring
- Recurring stump neuromas
Surgical Approaches
Following two surgical approaches can be used:
| Type of surgical approach | Details |
|---|---|
| Dorsal approach | |
| Plantar approach |
|
Surgical Procedures
| Surgical procedure | Details of the procedure |
|---|---|
| Neurectomy | |
| Cryogenic surgery/Cryogenic neuroablation |
|
| Decompression surgery |
References
- ↑ Zanetti M, Saupe N, Espinosa N (2010). "Postoperative MR imaging of the foot and ankle: tendon repair, ligament repair, and Morton's neuroma resection". Semin Musculoskelet Radiol. 14 (3): 357–64. doi:10.1055/s-0030-1254524. PMID 20539960.