Morton’s neuroma

The treatment of Morton’s neuroma by our orthopedic surgeon involves various non-surgical and surgical options, depending on the severity of the condition and the associated symptoms. Here is an overview of the treatment approaches:

1. Non-Surgical Treatment:
   • Footwear Modifications: Wearing shoes with a wide toe box and low heels can help alleviate pressure on the affected area and reduce symptoms.
   • Orthotic Devices: Custom-made orthotic inserts or arch supports may be prescribed to help redistribute pressure and provide cushioning for the neuroma.
   • Medications: Nonsteroidal anti-inflammatory drugs (NSAIDs) or corticosteroid injections may be used to reduce inflammation and relieve pain.
   • Physical Therapy: Exercises to improve foot strength, flexibility, and gait mechanics may be recommended to reduce symptoms and prevent recurrence.
2. Surgical Treatment:
   • When non-surgical interventions fail to provide relief or in severe cases, surgical intervention may be considered. The type of surgery will depend on the severity of the neuroma and the patient’s individual circumstances.
   • Neuroma Excision: This procedure involves removing the affected nerve tissue. The surgeon will make an incision in the foot and carefully locate and excise the neuroma. After the removal, the nearby nerve endings are carefully handled to minimize the chance of recurrence.
   • Nerve Decompression: In some cases, the surgeon may perform a nerve decompression procedure, where the affected nerve is released from any entrapment or compression by nearby structures.
   • Interdigital Neurectomy: This surgical procedure involves removing the portion of the affected nerve that is causing the symptoms. The surgeon will locate the neuroma, carefully dissect the nerve, and remove the affected portion.
   • Radiofrequency Ablation: This minimally invasive procedure involves using radiofrequency energy to heat and destroy the affected nerve tissue, providing pain relief. It is often used as an alternative to traditional surgical methods.
3. Postoperative Recovery and Rehabilitation:
   • After surgery, the patient will typically undergo a period of recovery and rehabilitation. This may involve wearing a surgical shoe or boot, using crutches, and gradually resuming weight-bearing activities.
   • Physical therapy exercises may be prescribed to restore foot strength, flexibility, and normal gait mechanics.
   • The duration of recovery and rehabilitation will vary depending on the type of surgery performed and the individual’s healing progress.
4. Long-Term Follow-up:
   • Regular follow-up visits with the orthopedic surgeon will be scheduled to monitor the healing process, assess the foot’s condition, and address any concerns or complications that may arise.
   • The surgeon may provide recommendations for footwear, orthotic devices, and lifestyle modifications to prevent the recurrence or worsening of the symptoms.

It’s important to note that the treatment approach for Morton’s neuroma may vary depending on the severity of the condition, associated symptoms, and the patient’s preferences. The orthopedic surgeon of the Eisenhower Clinic will conduct a thorough evaluation and discuss the available treatment options to develop an individualized plan tailored to the patient’s needs and goals. Compliance with the recommended treatment plan, including postoperative care and rehabilitation, is crucial for achieving optimal outcomes.