Muntons Neuroma ??

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--Forum: Pain in the sole of the foot
---Topic: Muntons Neuroma ?? started by Pippivixen

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Pippivixen
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Oct. 04 2004,08:30

After 6 months of pain in the sole of my foot, I finally got myself to the Dr, the reason for the delay was I have had knee surgery twice in the last 2 years, and to be honest, I was getting fed up of telling people I was in pain, or explaining why I was limping. My Dr was mortified, I had left it so long, being in almost agony and diagnosed Mortons Neuroma (sp?) he has referred me to an orthopaedic surgeon asap and has told me that he will more than likely operate to remove the damaged nerve as I have been in pain for so long, he doubts if a cortisone injection will now work. What I was wondering, was, how sucessfull is this type of surgery and is it done from the top of the foot, or from the sole ??, I am self employed and drive a lot, so have to think about the implications of it all.
Thanks
Pippi

Dr Foot

Super Administrators
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Jan. 2003

Oct. 05 2004,08:54

I am surprised that your doctor suggested surgery straight away without considering conservative treatment options like referring you to a chiropodist for padding and insoles.

Two surgical procedures are available. The dorsal (top of the foot) approach involves making an incision on the top of the foot. This approach permits the patient to walk soon after surgery because the stitches are not on the weight-bearing side of the foot. The podiatrist maneuvers the instruments carefully through many structures and cuts the deep transverse metatarsal ligament, which typically causes most of the nerve compression. This procedure can lead to instability in the forefoot that may require attention in the future.

The second procedure involves a plantar approach, in which the incision is made on the sole of the foot. The patient must use crutches for about 3 weeks and the scar that forms can make walking uncomfortable. The advantage of the plantar approach is that the neuroma can be reached easily and resected without cutting any structures.