Mortons Neuroma

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I was diagnosed with a Mortons neuroma between toe 2 & 3 in my left foot in march 2014. I was to have surgery on December 2014 to remove it after having insoles from podiatry and not making any difference. When my consultant came to speak to me prior to my surgery he said he wasn't going to remove the neuroma as it was smaller (6.5mm) than HR likes them to be (9-10mm)!! But he would straighten my big toe as it was fairly squint and squashing my other toes and he felt that this would give the other toes a bit more space and I would get less pain from the neuroma. Anyway long story short I've had the toe straightened but still in a lot of pain on ball of my foot and in top at base of both toes 2&3 and consultant today wanted 2 give me more surgery to now remove the neuroma!! Due to having had lots of time off work for the earlier surgery I'm unable to take any more time off just yet so om getting an ultrasound guided cortisone injection - had anybody had this and did it give you any relief? I'm hoping that this will ease my pain and give me a bit longer before I need further surgery. Sorry for the long post and would be grateful for any advise. Thanks

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  • Posted

    Hi sallyg06,

    Had my MN op on Sunday, everything went well. Up on my feet just a bit sore where the stitches are however I know it will better when I get them out. Had suffered with pain in right foot for years, the doctors said it was nothing I just imagined pain. How glad was I when a replacement doctor sent me to orthopaedic and tramur consultant who sent me for a X-ray nothing showed up, then sent for scan. I had the injection and it did work for a month, then bit by bit the pain came back so he suggested the op. At last I feel it's going to be ok. So just keep going back Sally. Don't it like I did and just suffered. I will never take negative suggestions from doctors again. I hope you get it sorted. My MN was between 2 & 3rd toe as normally its 3/4 toes. Good luck. I live near Birmingham - England. It does depend where you live.

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    • Posted

      Hey Jenny, I have had MN for several years, with quite a few cortizone shots, however my dr suggested that I do the dehydranated alochol injections which deaden the nerve from my understanding, He said up to 7 most need only 3 or 4, My first one went well, on the 2nd one the injection hurt, left my, toes and top of foot bruised, for days it was hard to tloerate walkinging, Iwent back told the doc, he said bruising is normal,he would only do half injection, foot still swollen oin top, he did, this time no bruising as the first, but hard to tolerate the walking. I went back in 2 weeks, and my mind was made up no more injections. When I asked if he was suppose to do these with a sonogram he said added expense, when you do as many as he did you know where to inject, I told him no more, that I could hardly move the toe, swollen on top, pain on the top which I never experienced, my pain was always in the ball of the foot like I was walking on a peanut. so he xrayed it, and said he need to clam the foot down, put me in a boot, and said he thnks I have a stress fracture. Please, who do yuo go to a orthopedic, or a poditrist. Sorry so long, I need advice sice all i see is bad stuff on MN, nothing is postive you read
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    • Posted

      Hi Jeanne, so sorry to hear things not going well. I had my MN done 3 weeks ago and all though it's painfull not half as bad as the pain I was suffering every day. I only had 1 injection it worked for a month then pain again. So when I saw my consultant he said surgery and I know some people's views are against surgery. I made the decision, and had it done. My   

      Two toes look black however seen the nurse to check my wound and so far so good. It's early days but as I say so far so good. I have suffered this pain for so long and my doctor could find anything so it was when I saw another doc who said me to trauma and orthopaedic who X-ray it nothing showed up and I thought here we go again however when they did a scan the MN was seen. It was all go after that. So it was the scan and the consultant giving me the choice. So please go back Jeanne, I now know it was me just taking there word and not insisting I wanted something done. I have suffered for years and was starting to believe that it was in my head. Never again, it has made me stronger. I will now be more assertive. Take care and let me know how you get on. Take care. Good luck. Don't suffer..

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    • Posted

      Hey Jenny, I went back to my podatrist who had me in a boot for 2 weeks after 3 injections, which really aggrivated the foot and caused more imflamation, the boot was to calme the foot,make sure was stress fracture. He then suggested the surgery for MN, I told him I wanted to think about it, went without the boot for 3 days. No way. I got back to dr in 1 more wek and have decided to go for the surgery. How is your doing?

       

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    • Posted

      Hi Jeanne, yes doing really well, still a little painfull however not taking quinine tablets at night any more. Booked to go to the theatre next week were there will be crowds of people. So must be feeling confident in myself, my husband can't get over how well I am. So I'm glad I had it done. I do hope it goes well for you, each is different . However be positive, wishing you well. Let me know how you get on. 
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    • Posted

      Hey Jenny, hope you are doing well with you surgery, Wanting to see how things are going for you, and to let you know my surgery has been scheduled for Nov 3rd. I am a little nervous, I ve tried everything to help it, now its pretty much live with or surgery, still a little nervous about my decision, bit I have had enough of the pain.
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    • Posted

      Hi Jeanne, oh I'm doing fine hardly any pain now just having trouble fitting into my shoes, however pleased I had the op. My appointment is in a couple of weeks with my consultant so will let you know what he says. I wish you all the best for your op, go with a positive mind. I'm sure. you will be fine. Just a few weeks of slight pain - nothing like we have suffered before. Will be thinking of you, keep in touch and let me know how you get on. Take care. Hugs x

       

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    • Posted

      Hey Jenny, I had my surgery today, so far I am glad I did. Yes I have pain, I am on pain medications, but the dr told my husband that was biggest nerve he ever saw. So I am definately glad for my decision, so far positive attitude on first day
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    • Posted

      Hi Jenny

      Hope you don't mind me contacting you after such a long time and out of the blue. just found this forum.

      I have a NM which I've been putting up with for a couple of years now and having had cortizone and cryosurgery have got the point of wanting to go the surgical route. It is impacting my sport which is long distance horse riding.

      Do you mind telling me how your foot is now following surgery to remove the NM and if your experience has been a positive one or not.

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  • Posted

    Injecting alcohol (like phenol and surgical ablation) are merely ways of desensitising the region by killing the nerves, and an acknowledgement that the surgeon does not know the cause of the pain.

    Alcohol etc. also kills all the adjacent tissues, including any tendons or muscles. Hence the pain. Blood vessels are also damaged (hence the bleeding aka bruising). It is dangerous, and can cause ulceration.

    I suggest that you ask you surgeon to get my book, which explains much or most of the happenings which cause pain in the forefoot (there are a number of causes). Without a diagnosis, correct treatment clearly cannot occur.

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    • Posted

      Hi jp66967, I have thought how knowledgeable you are on feet. Please let me know the name of your book I would be very interested to read it. Thank you
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    • Posted

      sally, if you read my posting, I tried the alochol injections and they really ittiyated my foot, after the 3rd, with some really bad bruising on the 2nd. I opted out of the injections, wnd went with surgery. @weeks since surgery, and soing well. However several years ago I did the cortisone shots, and they helped for a bit.
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    • Posted

      HI Jeanne thanx 4 ur message. I'm sure it's cortisone injection im getting altho in would have preferred the ultrasound guided injection as that way there's more chance of them getting the neuroma but at least I'd he tried the blind injection there's still a chance he gets close to it and I can't afford any more time off work for further surgery until middle if next year so I'm hoping that this gives me some sort of relief at least for a few months. I know it's inevitable that I will require surgery but the longer I can hold off then the better. Good to hear you're doing well after your surgery. What timescale dis they give you for recovery? x
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    • Posted

      Hey Sally. the cortisone shot should give you some relief for awhile. My dr first said that I would be out of work for 2 weeks, then when he did the surgery he said I had the largest neuroma he ever saw. So he also thought I sit down at work, which would have been great if I did, but I stand and do production all day, so I am still out of work, been out since Nov 3, I go back Monday to take out stitches, and try to get in my shoes. If your job requires you to sit 2 weeks is ggod, and then sometime the shots helps and you may not need it at all.
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    • Posted

      Hi how are you doing now? Are you back on your feet again now? Any pain? I've been really good since getting cortisone injection in December 2015 but the pain the ball of my foot is starting to come back. Although not as bad as it was but it's quite painful. I've got an appointment to see my consultant on 2 June and I'm sure he's going to put me forward for surgery. I'm in a bit of a dilemma as it's not 2 years since I had my last surgery so work could be a bit awkward with me being off again but if I get another cortisone and then get put forward for surgery in a few months time I'm not sure how my recovery will be as we're due to go to new Zealand in June 2017 so not sure just to go for surgery later this year so that I've got more time to recover. I just hope after surgery that it sorts my foot and I get no further pain. x

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    • Posted

      Hello, am reading your replies re MN which a son of mine, in his late thirties, has just been diagnosed with following two bad breaks in foot after a v bad fall.  I see you say diagnosis for MN should relate to the 4th & 5th toes (little too being 5th) but he feels his related to 3rd & 4th, so I am not concerned about misdiagnosis.   I see you have a book that would be helpful, can you please give the name of the book, or how you can be contacted if unable to give this information on this forum.  There is a history of severe arthritis affecting the feet on his paternal side, and because of this, we are desperate to do all we can to prevent this from happening.
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    • Posted

      Hi jp66967I am new to this forum and am unsure how it works. I am interested to hear more about your book that is mentioned in some of the posts here. Please can you let me know the name of your book and how I can get hold of it. I can see that this site does not allow this kind of information on its pages....what would be the procedure? Many thanks.

       

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