Does Morton’s Neuroma Require Surgery?
If an X-ray or MRI shows no fracture, Morton’s neuroma can often be healed conservatively with small changes. Footwear is the first remedy. We will recommend wearing roomier, wider shoes and avoiding high heels. A soft-soled shoe will also be recommended. These small changes in footwear allow the ball of the foot to relax and enable the bones to spread out which helps reduce the pressure on the foot. A metatarsal pad is often recommended. This as a felt or foam pad that is placed in the shoe, just behind the metatarsal heads, and this spreads the forefoot allowing more room for the inflamed nerve. Our physicians may prescribe an injection to help reduce the swelling and pain. In many patients with a Morton’s neuroma, these conservative approaches are successful in relieving the pain.
What is the Surgical Treatment for Morton’s Neuroma?
When conservative treatment, including injections, fails then surgical intervention may be indicated. The surgery involves visualizing the nerve and decompressing or removing the nerve. If the nerve is removed the patient is left with a small area of numbness in the toes but significantly less pain. In most cases, surgery for this condition is usually successful and the recovery period is short and immediate weight bearing is allowed. The surgical approach that is used by our team will depend on the degree of injury.
What is the Recovery Following Morton’s Neuroma?
It is essential that patients follow the post-operative protocol for recovery as set forth by our team as it remains a crucial part of the healing process. Patients are typically allowed to walk in a protective shoe after just a few days. Sometimes patients require the use of an assistive device to make walking easier. Depending on the severity of the injury and the exact surgery performed, patients may resume normal activities within 4-8 weeks.