Morton's Neuroma Pain in Foot - Surgical Excision

[bboyjkang]

Hey Dr. Glass. Do you have any opinions on cryosurgery to treat a morton’s neuroma? (ABC news story: watch?v=jE0r27vYNDQ). Only a handful of podiatrists in the states use the cryostar machine and procedure. I think only 1 podiatrist in British Columbia, and all of Canada (where I’m at) recently obtained the cryostar machine. It’s minimally invasive, and supposedly has high success rates. Promising?

[eviljoebob]

Im trying to figure out if I might have this or a stress fracture. I run and got a stress fracture on my right foot about 3 weeks ago and the past few days I've had a weird throbbing feeling in my left foot either on my 4th metatarsal or between the 4th and 5th metatarsals

[DrGlassDPM]

@eviljoebob Injury and inflammation, especially after a long time, can present with a wider range of symptoms. Have you received any recent Xrays? Stress fractures will have a maximal point of tenderness on the bone itself, but they are not always easy to localize...

[porksniffer]

Ugh...Thanks for the video. I think this is what I have. I'm a runner of 12 marathons and run 50miles/week. The pain is is on my left foot, 3rd toe on the inside part close to the 2nd toe. It's a radiating shooting pain like a shock and doesn't happen on every single step. Almost as if it takes a few steps break, then shoots for a few steps, stops. It is excruciating. I have stopped running, since it is impossible. Will this go away with rest, ice and anti inflams or am I dreaming?

[DrGlassDPM]

@porksniffer Often, injections will help this. Sometimes an irritated or inflamed nerve will cause those sorts of uncomfortable symptoms. Have you received any injections?

[porksniffer]

@DrGlassDPM No, haven't gone the injection route just yet. I've managed to heal it somewhat by using an insole with about a 1cm moleskin padding just under and behind my big toe. It's taken the pressure off the neuroma and has allowed me to resume running for less than an hour. It's been getting progressively better albeit very slowly but the pain is still there when walking barefoot. Your video was very helpful with the diagnosis. Thank you.

[kantire]

I had the surgery and wish I hadn't! I have no feeling in my middle toes and the pain from the surgery was excrutiating. I'd rather they chopped off my foot than go thru this procedure again!!!!

[DrGlassDPM]

@kantire I'm sorry to hear your situation. Nerve surgery can have some variable results. How long ago was your procedure?

[kantire]

@DrGlassDPM My surgery was 4 years ago-and I still cannot feel my toes, My other foot also has a neuroma but I'd rather live with that pain than undergo the surgery again.

[DrGlassDPM]

@kantire I imagine 4 years is a long time to deal with the pain; my sympathy to you. What other treatments have you tried?

[kantire]

@DrGlassDPM All I have done since then is I bought custom made orthodics, I'm wearing the best running shoes I can afford, I have taken a desk job to stay off my feet. My doctor has basically said" whats done is done" in regards to my surgery- you can't undo whats done. I just want people to search out all other means before considering surgery. As I said you can't undo what's been done.

[sylburn22]

thank you for these informations, I did a lot of sport when I was younger, and I'm actually a drummer. I must stop, and wait an operation. I 'm really in pain, and it works on my mental, it's so hard to enduring this pain. I hope to find a good life after my operation, my doctor is optimist. thank you for this schematisation, and excuse me if my english is not good, I'm french

thank you again

[DrGlassDPM]

@sylburn22 I'm hopeful for you, too. You drum for a band? Got any video's online?

Best of luck and a great recovery to you,

Nick

[sylburn22]

@DrGlassDPM I can't sleep,Î'm in pain, yes I play in a band . I 'll come on your channel with it, because some guys run after me, andI don't want them to know wich band it is. I will sûrely have to be operate after an IRM (I don't know if it's the same in english)

[c1eLno1r]

This was enlightening , now i know exactly why my foot hurts.

Thx.

[DrGlassDPM]

@c1eLno1r No problem, Thanks for watching

[Hectorrskates]

my foot hurts from the bottom below my 5th and 4th toe when i put weight on that side. but no numbness. could this still be what i have? i was injured and did not just occur out of no where

[DrGlassDPM]

@Hectorrskates It honestly depends. What sort of injury did you have? The pain may or may not be a result of nerve pathology

[Hectorrskates]

@DrGlassDPM well i jumped and landed will all my weight on my 5th and 4th toe and it felt like my foot bent. it hurt to flex my toes up but now it just hurts when i put a lot of weight on it.

[DrGlassDPM]

@Hectorrskates You may have bruised your foot, or some structures within. It may not be nerve. How long ago was it?

[Hectorrskates]

@DrGlassDPM tomorrow it will be exactly 5 weeks. it hurts most after running.

[ThePhailed]

THIS IS SO FILTHY.. no wait this aint dubstep ! what the F---

[DrGlassDPM]

@ThePhailed Just because I'm not dubstep, doesn't mean I'm not at least a little filthy....

[JonathonPetruk]

haha thumbs up if datsik and excision brought you here :P

[DrGlassDPM]

@JonathonPetruk @ThePhailed I'm just as surprised as anyone else... Thanks for stopping by

[akropiss]

interesting, I've just smoked 3 bong hits and i understood everything that was narrated, i've even gotten the urge to re-educate myself on nervous re-iteration. maybe i'll go to McGill, study medicine.

[DrGlassDPM]

@akropiss Outstanding! Glad it was useful in your recreational adventures

[woollster00]

But this isn't filthy dubstep just filthy feet ! lol

[BecauseiBactracedit]

I CLICKED THIS CAUSE IT SAID EXCISION. HOPING FOR MIND BLOWING MUSIC, I GET EDUCATION?! BLAH!

[DrGlassDPM]

@BecauseiBactracedit @FTSfuckthesystemFTS I'm sorry to disappoint you both... :-( hehe

[FTSfuckthesystemFTS]

i was looking for dubstep songs by excision and i found this? what has the world come to?

[DrGlassDPM]

@FTSfuckthesystemFTS I just hope you won't hold this against the system, as well

[BecauseiBactracedit]

@FTSfuckthesystemFTS bahahaha right? xD

[fmatbusiness]

Hi, my name's Filipe and i'm from portugal...

I have pain on my left foot since 2009, i already met 11 doctors (phD) but they cannot help me, i have lot of exams but i need urgently someone in any part of the world that can help me...

you think you can?

best regards

filipe

[DrGlassDPM]

@fmatbusiness It would be hard to help without actually seeing you. Why 11 different doctors?

[DrGlassDPM]

That's great news. I'm glad to hear when people get back to daily life, once again.

[MrsGrant1977]

I had two neuromas removed from my right foot about a year ago, and I have no regrets. The surgery wasn't that bad at all, and I was walking in a sugical boot that same day. I can walk pain free now and run like I used to.

[minamadi]

Wonderful Video, thanks

[DrGlassDPM]

I'm glad you enjoyed it, thank you

[turtlegirlnz]

i have this and am waiting for surgery, been waiting a year now and i am nearly at my end wait its so painful, i wanna know what happens after surgery as in am i bandaged on crutches or in a cast , how long am i gonna be off my feet for etc if anyone can give me sum insite i would be greatful.

[DrGlassDPM]

That could depend on a number of things. Based on what your Doctor ultimately believes. The good news is that its a "soft tissue" procedure.

Meaning that these typically take less time to heal than one where bones are cut and need to heal. You shouldn't have to worry about crutches for too long, if at all.

[wiccanchick30]

Has anyone ever gone back to heels after this condition? I have it. I have chosen to refuse wearing flats due to cultural reasons but I'm wondering how my appointment will go tomorrow post MRI.

[DrGlassDPM]

Yes, people go back to regular shoe gear all the time. Be aware, that some neuromas are actually considered to be caused by improper or extreme shoe gear, such as heels.

There's honestly no guarantee that the neuroma won't return if surgery is performed, but having said that, regular heels shouldn't be completely out of the question.

[DrGlassDPM]

I would like to say that "Innervation" itself, does not take place per say. The sensation returns, but the original nerve is still removed.

We hope this doesn't cause any confusion.