Home The Book Dr Articles Products Message Boards Journal Articles Search Our Surveys Surgery ESWT Dr Messages Find Good Drs video

Mortons Neuroma

Posted by Minda G on 12/13/02 at 20:49 (103006)

I would like to know if there ids any research gooing on regarding Mortons Nuroma. I have had two surgeries to remove the nuromas, and to remove the stump nuromas. i am now in sever pain since and have a possible new nuroma. i have had alchol injections and an excessive amount of steroid injections (20). Orthotics and padding has not helped. Is there anything new to aleviate pain for this condition would be appreciated. MG

Re: Mortons Neuroma

Ed Davis, DPM on 12/13/02 at 20:53 (103008)

Minda:
Nerve tissue grows slowly so regrowth of such lesions is not common. What level of relief did you have after the first surgery? After the second surgery?
Ed

Re: Mortons Neuroma

Sheila S on 12/14/02 at 04:42 (103031)

Wow Minda, you sound like me. I've received some good ideas from the doctors here on tests and possibilities and such. If you do a Search for Neuroma (from the top of the board after entering 'Ask the Doctors') you'll get my recent posts. This will have alot of info. and test suggestions, which may be of some help to you. Also, some of the questions the doctors need to know, like: both or one foot? Were surgeries through the top of the foot or bottom? How long ago? How far apart in time were the surgeries? Where is the pain? What does the pain feel like? What tests have you had? Have you tried orthotics? Who did the surgery, a Pod or Orthopod? Same doctor both surgeries? Etc.

(I'm not a doctor, but, Dr. Davis >> doesn't 20 cortisone injections sound extremely excessive? I know that steriod breaks down the tissue, which, in itself can cause problems and pain. My doctors wouldn't do more than 4 or 5. Their feelings were, if 4 or 5 didn't help, then 8 or 10 wouldn't either.)

Minda, keep an eye on this site, and I'll let you know what I find out about me and perhaps it may be of assistance to you. After the doctor's help here, and lots of research on their info., I've kind of narrowed the continued pain down to one of 2 probable causes: 1) a neuroma that had more than one lobe that was hidden under or beside the metatarsal head and could not be seen from the top of my foot where both incisions were made; 2) unusual innervation (nerve pattern) also unseen from the top (perhaps the surgery pushed it over and it's now being smashed by the met head when I walk, or some such). My pain was immediately after the first surgery, so a second surgery was done, but didn't help at all. I've been through the Sclerosing too, it didn't help either. Two different Podiatrists did the surgeries.

In any case, I will soon have an appointment with a foot/ankle Orthopedic specialist. He is currently reviewing all my medical records. I should have an appt. within the next 2 or 3 weeks, they are going to squeeze me into a cancellation.

Of particular note is something I learned from one of the doctors here, and have confirmed repeatedly in my research afterwards ---- most surgeons feel that if pain continues after the first surgery, in the same place, the second surgery should be through the bottom of the foot. Makes me wonder where my doctor stands, since he wouldn't even consider an incision through the bottom.....

Good luck!
Sheila

Re: Mortons Neuroma

Ed Davis, DPM on 12/16/02 at 20:21 (103350)

20 cortisone shots does sound excessive.
Ed

Re: Mortons Neuroma

Ed Davis, DPM on 12/13/02 at 20:53 (103008)

Minda:
Nerve tissue grows slowly so regrowth of such lesions is not common. What level of relief did you have after the first surgery? After the second surgery?
Ed

Re: Mortons Neuroma

Sheila S on 12/14/02 at 04:42 (103031)

Wow Minda, you sound like me. I've received some good ideas from the doctors here on tests and possibilities and such. If you do a Search for Neuroma (from the top of the board after entering 'Ask the Doctors') you'll get my recent posts. This will have alot of info. and test suggestions, which may be of some help to you. Also, some of the questions the doctors need to know, like: both or one foot? Were surgeries through the top of the foot or bottom? How long ago? How far apart in time were the surgeries? Where is the pain? What does the pain feel like? What tests have you had? Have you tried orthotics? Who did the surgery, a Pod or Orthopod? Same doctor both surgeries? Etc.

(I'm not a doctor, but, Dr. Davis >> doesn't 20 cortisone injections sound extremely excessive? I know that steriod breaks down the tissue, which, in itself can cause problems and pain. My doctors wouldn't do more than 4 or 5. Their feelings were, if 4 or 5 didn't help, then 8 or 10 wouldn't either.)

Minda, keep an eye on this site, and I'll let you know what I find out about me and perhaps it may be of assistance to you. After the doctor's help here, and lots of research on their info., I've kind of narrowed the continued pain down to one of 2 probable causes: 1) a neuroma that had more than one lobe that was hidden under or beside the metatarsal head and could not be seen from the top of my foot where both incisions were made; 2) unusual innervation (nerve pattern) also unseen from the top (perhaps the surgery pushed it over and it's now being smashed by the met head when I walk, or some such). My pain was immediately after the first surgery, so a second surgery was done, but didn't help at all. I've been through the Sclerosing too, it didn't help either. Two different Podiatrists did the surgeries.

In any case, I will soon have an appointment with a foot/ankle Orthopedic specialist. He is currently reviewing all my medical records. I should have an appt. within the next 2 or 3 weeks, they are going to squeeze me into a cancellation.

Of particular note is something I learned from one of the doctors here, and have confirmed repeatedly in my research afterwards ---- most surgeons feel that if pain continues after the first surgery, in the same place, the second surgery should be through the bottom of the foot. Makes me wonder where my doctor stands, since he wouldn't even consider an incision through the bottom.....

Good luck!
Sheila

Re: Mortons Neuroma

Ed Davis, DPM on 12/16/02 at 20:21 (103350)

20 cortisone shots does sound excessive.
Ed