Morton’s Neuroma surgery is an excellent option for people who suffer from this debilitating condition, despite non-surgical treatments being unsuccessful. There are, however, certain risks that must be discussed with the patient if considering undergoing Morton’s Neuroma surgery.

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Complications

The good news is that complications following elective foot surgery are less than 3%. The most common risk, infection, carries a 1.9% risk and this has been shown in a paper published by P Butterworth in the medical journal Infection, Disease and Health. The use of antibiotics given during the surgery helped to reduce the risk of infection. However, the use of antibiotics after surgery did not reduce infection rates, and therefore antibiotics are not usually required following the Morton’s Neuroma surgery.

Surgical Management
Morton’s neuroma surgery involves the elimination of pain associated with a benign thickening of a nerve between two toes. The thickened portion of the nerve is removed to a level behind the ball of the foot. Most times this is performed through an incision in the top of the foot. However, there are times that an incision is placed in the bottom of the foot. This procedure is performed as Day Surgery. Cortisone injections may also be performed by Dr Kim, although generally speaking, they provide only temporary relief. For more information visit footsurgery.com.au

DIAGNOSIS

A positive ‘Mulder’s’ Click can indicate the presence of Morton’s Neuroma although both specificity and sensitivity are poorly researched. Ultrasound and MRI provide good predictability although usually a diagnosis is made purely on clinical judgement alone. Differential Diagnosis includes: Plantar plate rupture of the lesser metatarsals, lesser metatarsal capsulitis, peripheral neuropathy, peripheral symptoms associated with sciatica, neuritis/localised digital nerve entrapment.

  • By – Dr Ji Soo Kim
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