Pain after Morton’s neuroma surgery? Failed Morton’s surgery? Why?
What is the cause of post Morton’s neuroma surgery pain? Why do many Mortons neuroma surgeries fail?
The most common cause of failed Morton’s neuroma surgery is wrong diagnosis. This is mainly because, a number of musculoskeletal conditions mimic Morton’s neuroma in symptoms and clinical examination, the commonest being synovitis of second metatarsal joint and tarsal tunnel syndrome. In all such cases, when there is an indication of another underlying issue, more sophisticated investigations should be performed before opting for surgical intervention. It is critical to see a doctor well experienced in dealing with these cases.
The other main causes of failed Morton’s neuroma surgery include poor surgical technique and right diagnosis, right operation but unfavorable outcome.
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.