Morton's neuroma surgery: Difference between revisions
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==Surgery== | ==Surgery== | ||
* [[Surgery]] is the last resort in the [[Treatments|treatment]] of [[morton's neuroma]] and is advised when: | * [[Surgery]] is the last resort in the [[Treatments|treatment]] of [[morton's neuroma]] and is advised when: | ||
** Other therapies have failed | ** Other [[Therapy|therapies]] have [[Failure|failed]] | ||
** Symptoms persist after 9 to 12 months | ** [[Symptoms]] persist [[Afterimage|after]] 9 to 12 months | ||
* In some 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]]: | ||
** [[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]] | ||
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===Complications after the surgery=== | ===Complications after the surgery=== | ||
* 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 risk of infection around the toes after surgery | * There is a small [[RiskMetrics|risk]] of [[infection]] around the [[toes]] [[after surgery]] | ||
===Surgical Approaches=== | ===Surgical Approaches=== | ||
Following two surgical approaches can be used: | Following [[Two-dimensional|two]] [[Surgery|surgical]] approaches can be [[Usage analysis|used]]: | ||
{| class="wikitable" | {| class="wikitable" | ||
|+Different surgical approaches | |+Different surgical approaches | ||
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! style="background: #4479BA; width: 200px;" | {{fontcolor|#FFF|Details}} | ! style="background: #4479BA; width: 200px;" | {{fontcolor|#FFF|Details}} | ||
|- | |- | ||
|style="padding: 5px 5px; background: #DCDCDC; font-weight: bold" |'''Dorsal approach''' | | style="padding: 5px 5px; background: #DCDCDC; font-weight: bold" |'''Dorsal approach''' | ||
|The surgeon makes an incision on the top of the foot, allowing the patient to walk soon after surgery because the stitches are not on the weight-bearing side of the foot. | |The surgeon makes an incision on the top of the foot, allowing the patient to walk soon after surgery because the stitches are not on the weight-bearing side of the foot. | ||
|- | |- | ||
|style="padding: 5px 5px; background: #DCDCDC; font-weight: bold" |'''Plantar approach''' | | style="padding: 5px 5px; background: #DCDCDC; font-weight: bold" |'''Plantar approach''' | ||
|The surgeon makes an incision on the sole of the foot. During recovery, most patients will need to use crutches for about 3 weeks. The resulting scar might make walking uncomfortable. However, the neuroma can be reached easily and removed without cutting any structures. | |The surgeon makes an incision on the sole of the foot. During recovery, most patients will need to use crutches for about 3 weeks. The resulting scar might make walking uncomfortable. However, the neuroma can be reached easily and removed without cutting any structures. | ||
|} | |} | ||
Revision as of 02:52, 11 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. Permanent nonpainful numbness occurs after surgery if a portion of the affected nerve is removed. 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:
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
Surgical Approaches
Following two surgical approaches can be used:
| Type of surgical approach | Details |
|---|---|
| Dorsal approach | The surgeon makes an incision on the top of the foot, allowing the patient to walk soon after surgery because the stitches are not on the weight-bearing side of the foot. |
| Plantar approach | The surgeon makes an incision on the sole of the foot. During recovery, most patients will need to use crutches for about 3 weeks. The resulting scar might make walking uncomfortable. However, the neuroma can be reached easily and removed without cutting any structures. |
Surgical Procedures
| Surgical procedure | Details of the procedure |
|---|---|
| Neurectomy | |
| Cryogenic surgery/Cryogenic neuroablation |
|
| Decompression surgery |