Short review of Morton’s neuroma surgery
Surgical removal of Morton’s neuroma is the most common treatment for the pain, discomfort and immobility in stubborn cases of Morton’s neuroma. However, the success rate and patient satisfaction scores are fairly low after most surgeries. Patients usually report varying degrees of numbness, loss of sensations and pin-and-needle sensation due to incomplete removal of neuroma and painful neuroma stump formation.
Some reports suggest as many as 30% of patients under-going Morton’s neuroma surgery surgery are dissatisfied with the outcome. The reasons for failed surgery can be broadly divided into three groups: a) wrong diagnosis b) wrong surgery and c) right diagnosis and right operation but unfavourable outcome.(1)
Discomfort, pain and difficulty walking are the most common problems after surgery and these are usually due to complications such as infection, stump neuroma formation or the onset of Chronic Regional Pain Syndrome.
Before considering Morton’s neuroma surgery, you should consider a non-surgical procedure to treat your Morton’s neuroma.
For more information on pain and complications after Morton’s neuroma surgery, click here.
For a discussion on whether Morton’s neuroma is right for you, click here.
(1) Failed morton’s Neuroma Surgery, M. S. Davies, J Bone Joint Surg Br 2012 vol. 94-B no. SUPP XXII 3
Janet D. Pearl, MD, MSc is the Medical Director of The Center for Morton’s Neuroma and Complete Spine and Pain Care, an interventional and integrated Pain Management program located in Framingham, Massachusetts. Previously, Dr. Pearl was the Co-Director of the Pain Management Center at St. Elizabeth’s Medical Center, where she was also the Director of the Fellowship program. She is the former Director of a satellite pain center of the Brigham and Women’s Hospital, Pain Management Center, located at the HealthSouth Braintree Rehabilitation Hospital. Dr. Pearl held academic appointments at Harvard Medical School and Tufts Medical School. She serves on the Health Care Services Board of the Commonwealth of Massachusetts Department of Industrial Accidents since 2000 as one of its physician representatives and is Chair of the Committee on Pain Management.