Morton's neuroma surgery: Difference between revisions
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|+Different surgical approaches | |+Different surgical approaches | ||
!Type of surgical approach | ! style="background: #4479BA; width: 200px;" | {{fontcolor|#FFF|Type of surgical approach}} | ||
!Details | ! style="background: #4479BA; width: 200px;" | {{fontcolor|#FFF|Details}} | ||
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|'''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. | ||
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|'''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. | ||
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Revision as of 01:14, 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:
- Other therapies have failed
- Symptoms persist after 9 to 12 months
- 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 |
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| Decompression surgery |