A neuroma excision, also known as neuroma removal or neuroma surgery, is a surgical procedure performed to alleviate pain and discomfort caused by a neuroma, a benign growth of nerve tissue that typically occurs between the third and fourth toes. Neuromas, often referred to as Morton's neuroma, can result in sharp, burning pain, numbness, and tingling sensations in the ball of the foot.
Neuromas commonly develop due to repetitive pressure or irritation on the nerve tissue, often from wearing tight shoes or participating in high-impact activities. When conservative treatments such as padding, orthotics, corticosteroid injections, PRP injections, and footwear modifications fail to provide relief, neuroma excision surgery may be recommended.
Surgical Technique
During neuroma excision surgery, the patient is typically placed under local anesthesia with sedation or general anesthesia, depending on the surgeon's preference and the patient's medical condition. The surgeon makes an incision on the top or bottom of the foot, near the affected area, to access the neuroma. The neuroma is carefully dissected and removed, along with any surrounding tissue causing compression on the nerve. After excising the neuroma, the incision is closed with sutures or surgical staples.
Recovery
Following neuroma excision surgery, patients are usually able to return home the same day. They may experience some discomfort, swelling, and bruising in the operated area, which can be managed with pain medications and elevation of the foot. Weight-bearing activities may resume the next day after surgery. Patients are typically advised to wear supportive footwear and avoid strenuous activities during the initial recovery period. Physical therapy may be recommended to improve strength and flexibility in the foot and ankle.
Risks and Complications
While neuroma excision surgery is considered safe and effective, like any surgical procedure, it carries certain risks and potential complications. These may include infection, bleeding, nerve damage, scarring, persistent pain, recurrence of the neuroma, and complications related to anesthesia. However, the likelihood of experiencing these complications is relatively low, and most patients achieve successful outcomes with appropriate post-operative care.
In conclusion, neuroma excision surgery is a safe and effective treatment option for relieving pain and discomfort associated with neuromas in the foot. By understanding the surgical process, recovery expectations, and potential risks, patients can make informed decisions in collaboration with their healthcare providers to achieve optimal outcomes and regain comfort and functionality in their feet.
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