Morton's neuroma surgery: Difference between revisions
Jump to navigation
Jump to search
Sara Mohsin (talk | contribs) |
Sara Mohsin (talk | contribs) |
||
| (5 intermediate revisions by the same user not shown) | |||
| Line 3: | Line 3: | ||
==Overview== | ==Overview== | ||
[[Surgery]] is the last resort in the [[Treatments|treatment]] of [[morton's neuroma]]. In some [[Case-based reasoning|cases]], [[surgery]] may be needed to remove the [[Thickener|thickened]] [[tissue]]/[[Affect|affected]] [[nerve]] in order to [[Help Menu|help]] [[Release (information centre)|release]] the [[pressure]] on the [[Affect|affected]] [[nerve]], [[Pain relief|relieve]] the [[pain]] and [[Improving agent|improve]] [[foot]] [[Function (biology)|function]]. [[ | [[Surgery]] is the last resort in the [[Treatments|treatment]] of [[morton's neuroma]]. In some [[Case-based reasoning|cases]], [[surgery]] may be needed to remove the [[Thickener|thickened]] [[tissue]]/[[Affect|affected]] [[nerve]] in order to [[Help Menu|help]] [[Release (information centre)|release]] the [[pressure]] on the [[Affect|affected]] [[nerve]], [[Pain relief|relieve]] the [[pain]] and [[Improving agent|improve]] [[foot]] [[Function (biology)|function]]. [[Fewmets|Few]] [[complications]] [[after surgery]] are possible and include [[Permanent cosmetics|permanent]] nonpainful [[numbness]] if a [[Portion control (dieting)|portion]] of the [[Affect|affected]] [[nerve]] is removed, [[RiskMetrics|risk]] of [[Postoperative complication|postoperative]] [[infection]] around the [[toes]], [[Incision|incisional]] [[Sore|soreness]], [[scarring]], and [[Recurring dream|recurring]] stump [[Neuroma|neuromas.]] [[Morton's neuroma]] can be removed [[Surgery|surgically]] either via [[dorsal]] or [[plantar]] approach, with each approach having its own merits and demerits. [[Dependency ratio|Depending]] upon each [[Individual growth|individual]] [[Case-based reasoning|case]], [[Differentiate|different]] [[surgical procedures]] that can be [[Usage analysis|used]] for the [[Treatments|treatment]] of [[morton's neuroma]] include [[neurectomy]], [[cryogenic]] [[surgery]]/neuroablation, and [[decompression]] [[surgery]]. | ||
==Surgery== | ==Surgery== | ||
| Line 9: | Line 9: | ||
** Other [[Therapy|therapies]] have [[Failure|failed]] | ** Other [[Therapy|therapies]] have [[Failure|failed]] | ||
** [[Symptoms]] persist [[Afterimage|after]] 9 to 12 months | ** [[Symptoms]] persist [[Afterimage|after]] 9 to 12 months | ||
* In some [[Case-based reasoning|cases]], [[surgery]] may be needed to remove the [[Thickener|thickened]] [[Tissue (biology)|tissue]]/[[Affect|affected]] [[nerve]] in order to [[Help Menu|help]]: | * In some [[Case-based reasoning|cases]], [[surgery]] may be needed to remove the [[Thickener|thickened]] [[Tissue (biology)|tissue]]/[[Affect|affected]] [[nerve]] in order to [[Help Menu|help]]:<ref name="pmid20539960">{{cite journal| author=Zanetti M, Saupe N, Espinosa N| title=Postoperative MR imaging of the foot and ankle: tendon repair, ligament repair, and Morton's neuroma resection. | journal=Semin Musculoskelet Radiol | year= 2010 | volume= 14 | issue= 3 | pages= 357-64 | pmid=20539960 | doi=10.1055/s-0030-1254524 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=20539960 }} </ref> | ||
** [[Release (information centre)|Release]] the [[pressure]] on the [[Affect|affected]] [[nerve]] by [[Wide and fast|widening]] the [[Space medicine|space]] through which the [[Affect|affected]] [[nerve]] travels | **[[Release (information centre)|Release]] the [[pressure]] on the [[Affect|affected]] [[nerve]] by [[Wide and fast|widening]] the [[Space medicine|space]] through which the [[Affect|affected]] [[nerve]] travels | ||
** [[Pain relief|Relieve the pain]] | ** [[Pain relief|Relieve the pain]] | ||
** [[Improving agent|Improve]] [[foot]] [[Function (biology)|function]] | ** [[Improving agent|Improve]] [[foot]] [[Function (biology)|function]] | ||
| Line 16: | Line 16: | ||
* If a portion of the [[Affect|affected]] [[nerve]] is removed during the [[surgery]], [[Permanent makeup|permanent]] [[numbness]] occurs between the [[toes]], but it's not [[painful]] | * If a portion of the [[Affect|affected]] [[nerve]] is removed during the [[surgery]], [[Permanent makeup|permanent]] [[numbness]] occurs between the [[toes]], but it's not [[painful]] | ||
* There is a small [[RiskMetrics|risk]] of [[infection]] around the [[toes]] [[after surgery]] | * There is a small [[RiskMetrics|risk]] of [[infection]] around the [[toes]] [[after surgery]] | ||
*[[Incision|Incisional]] [[Sore|soreness]] | |||
*[[Scarring]] | |||
*[[Recurring dream|Recurring]] stump [[Neuroma|neuromas]] | |||
===Surgical Approaches=== | ===Surgical Approaches=== | ||
Following [[Two-dimensional|two]] [[Surgery|surgical]] approaches can be [[Usage analysis|used]]: | Following [[Two-dimensional|two]] [[Surgery|surgical]] approaches can be [[Usage analysis|used]]: | ||
| Line 25: | Line 29: | ||
| style="padding: 5px 5px; background: #DCDCDC; font-weight: bold" |'''Dorsal approach''' | | style="padding: 5px 5px; background: #DCDCDC; font-weight: bold" |'''Dorsal approach''' | ||
| | | | ||
* Surgeon makes an incision on the top of the foot | * [[Surgeon]] [[MakeBot|makes]] an [[incision]] on the [[Top7|top]] of the [[foot]] | ||
* As the stitches are not on the weight-bearing side of the foot, this approach allows the patient to walk soon after surgery | * As the [[Stitch|stitches]] are not on the [[weight]]-bearing [[Side chain|side]] of the [[foot]], this approach allows the [[patient]] to [[walk]] soon [[after surgery]] | ||
|- | |- | ||
| style="padding: 5px 5px; background: #DCDCDC; font-weight: bold" |'''Plantar approach''' | | style="padding: 5px 5px; background: #DCDCDC; font-weight: bold" |'''Plantar approach''' | ||
| | | | ||
* Surgeon makes an incision on the sole of the foot | * [[Surgeon]] [[MakeBot|makes]] an [[incision]] on the [[sole of the foot]] | ||
* During recovery, most patients will need to use crutches for about 3 weeks | * During [[recovery]], most [[patients]] will need to [[Usage analysis|use]] [[crutches]] for about 3 weeks | ||
* Resulting scar might make walking uncomfortable | * [[Result|Resulting]] [[scar]] might [[MakeBot|make]] [[walking]] [[Uncomfortable science|uncomfortable]] | ||
* Benefits of plantar approach includes: | * Benefits of [[plantar]] approach includes: | ||
** It is easy to remove neuroma by this approach | ** It is easy to remove [[neuroma]] by this approach | ||
** Neuroma can be removed without cutting any structures | ** [[Neuroma]] can be removed without [[Cut|cutting]] [[Any Question Answered|any]] [[Structure factor|structures]] | ||
|} | |} | ||
Latest revision as of 15:26, 21 June 2019
|
Morton's neuroma Microchapters |
|
Diagnosis |
|---|
|
Treatment |
|
Case Studies |
|
Morton's neuroma surgery On the Web |
|
American Roentgen Ray Society Images of Morton's neuroma surgery |
|
Risk calculators and risk factors for Morton's neuroma surgery |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Sara Mohsin, M.D.[2]
Overview
Surgery is the last resort in the treatment of morton's neuroma. In some cases, surgery may be needed to remove the thickened tissue/affected nerve in order to help release the pressure on the affected nerve, relieve the pain and improve foot function. Few complications after surgery are possible and include permanent nonpainful numbness if a portion of the affected nerve is removed, risk of postoperative infection around the toes, incisional soreness, scarring, and recurring stump neuromas. Morton's neuroma can be removed surgically either via dorsal or plantar approach, with each approach having its own merits and demerits. Depending upon each individual case, different surgical procedures that can be used for the treatment of morton's neuroma include neurectomy, cryogenic surgery/neuroablation, and decompression surgery.
Surgery
- Surgery is the last resort in the treatment of morton's neuroma and is advised when:
- In some cases, surgery may be needed to remove the thickened tissue/affected nerve in order to help:[1]
Complications after the surgery
- If a portion of the affected nerve is removed during the surgery, permanent numbness occurs between the toes, but it's not painful
- There is a small risk of infection around the toes after surgery
- Incisional soreness
- Scarring
- Recurring stump neuromas
Surgical Approaches
Following two surgical approaches can be used:
| Type of surgical approach | Details |
|---|---|
| Dorsal approach | |
| Plantar approach |
|
Surgical Procedures
| Surgical procedure | Details of the procedure |
|---|---|
| Neurectomy | |
| Cryogenic surgery/Cryogenic neuroablation |
|
| Decompression surgery |
References
- ↑ Zanetti M, Saupe N, Espinosa N (2010). "Postoperative MR imaging of the foot and ankle: tendon repair, ligament repair, and Morton's neuroma resection". Semin Musculoskelet Radiol. 14 (3): 357–64. doi:10.1055/s-0030-1254524. PMID 20539960.