Morton's neuroma surgery
Minimally invasive surgery designed to remove the thickening of the plantar nerve and relieve chronic foot pain.
Morton's neuroma is the pathological growth of connective tissue around a plantar nerve in the metatarsal region. It develops due to prolonged pressure and chronic overload of the forefoot and is often associated with transverse flatfoot and valgus deformity.
One characteristic symptom is a burning pain between the third and fourth toes on the front of the foot, which appears after wearing shoes, especially narrow ones, for a short time. The pain can be so severe that a person has to take off their shoes and massage their foot. Additionally, the pain may occur while sitting or walking. In some cases, the lesion affects the space between the second and third toes. Sometimes, several neuromas form on one foot at once. Patients often feel as if there is a foreign object in their shoe and experience numbness, tingling, and decreased sensitivity in their toes.
No special preparation is required, except for standard preoperative examinations to rule out any contraindications. Diagnostics include fluorography, ECG, laboratory tests, and imaging methods (X-ray, MRI, or CT) to determine the exact location of the neuroma.
The procedure is performed under local or short-term general anesthesia and takes 20–30 minutes. The surgeon makes a small, 1–1.5 cm incision, carefully cuts the ligament that is compressing the nerve, isolates the neuroma, and excises it. The wound is usually sutured intradermally, which ensures a good cosmetic result and eliminates the need for suture removal. After the procedure, a sterile bandage is applied, and after a few hours, you can step on the operated leg and move around without significant restrictions.
We use advanced microsurgical instruments to minimize trauma to the surrounding tissues.
The rehabilitation period following neuroma removal takes about three weeks. While recovering, avoid putting too much strain on the foot, wear supportive footwear and insoles, and start physical therapy to speed up the healing process. In two weeks, most patients can resume their regular activities, and after one month, they can play sports again. However, regular check-ups with a healthcare professional are essential to prevent a recurrence.
Benefits
Minimal trauma
A small incision and gentle neuroma removal technique.
Fast recovery
Patients can step on the operated foot on the day of surgery.
No scars
Cosmetic intradermal sutures leave almost no trace of the procedure.
Relapse prevention
Proper neuroma removal techniques prevent tissue regrowth and recurrence of pain.
Frequently Asked Questions
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