Dr. Patrick A. DeHeer, DPM - Excision of Morton's Neuroma

This is a plantar approach for excision of a Morton's Neuroma that did not respond to conservative care. I prefer the plantar approach for two reasons. First, you do not have to cut the deep transverse metatarsal ligament which may destablize the forefoot. Second, you are able to cut the nerve behind the weight-bearing surface of the ball of the foot. This lessens the chance of a stump neuroma which is the most common complication of this surgery. About 80-90% of patients respond to injection therapy and do not need surgery. Created on August 9, 2009 using FlipShare.

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• Dr. Patrick A. DeHeer
• Carmel
• Columbus
• Franklin
• Shelbyville
• foot surgery
• foot surgeon
• Morton's neuroma
• pinched nerve
• foot pain
• foot doctor
• podiatrist
• podiatric surgery
• numbness
• cramping
• neuroma
• FlipShare

[chazncharm]

thank you for this most educational birdseye view & thank you whomever for youtube

[padeheer]

@chazncharm You are welcome. Best Wishes.

Dr. Patrick A. DeHeer, DPM

[elena4527]

Dear Dr Patrick,

Thank you for your reply.

I have seen an osteopath and my symptoms have subsided. She has manipulated my foot and taped it in the right position. Ive been doing stretching exercises at home which have greatly helped. The pain is completely gone. I thought Id write this online in case someone is dealing with a similar problem.

Thank you again for replying.

kind regards,

elena

[padeheer]

@elena4527 You are welcome, gald to hear you are doing well. Best Wishes.

Dr. Patrick A. DeHeer, DPM

[macika99]

why is this not bleeding at all ?

[padeheer]

@macika99 I use a tourniquet during the surgery to stop blood flow to the foot. This allows me to see what I am doing better. Best Wishes.

Dr. Patrick A. DeHeer, DPM

[Chulabby55]

i was looking for dubstep where am i

[padeheer]

@alexchandanou Hello to you. Yes it sounds very similar to a Morton's Neuroma. It is a very common condition in runners due to being on the ball of your feet so much. Most of the time this does not require surgery. I first confirm the diagnosis with a steroid injection. This is often diagnostic but sometimes can cure it. The most common long-term treatment is an alcohol injection which must be done between 5-7 injections. Best wishes.

Patrick A. DeHeer, DPM

[1234nara]

why did the foot not bleed

[littlebo8meg]

very informative. I had a similar surgery along with the removal of a lipoma about the size of a macadamia nut about 9 weeks ago. Do you have any tips on how best to deal with a great deal of scar tissue that has developed on one side of my scar? Massage doesn't seem to be working.

[AliasJonesGal]

@raena24 This is one of the issues I have with surgery. I'm terrified that I will have pain during surgery but won't be able to get them to put me under deeper. I would never use this surgeon because he was so callous to the fact the patient obviously felt pain and he just went on with it. I don't care if patients remember the pain - the pain still happens. Just because something may not be remembered, doesn't meant a dang thing.

[padeheer]

@elena4527 It needs to be diagnosed correctly with a diagnostic injection for the Morton's Neuroma. You should then track the injection over a week's period of time. This helps to diagnosis the condition. Best wishes.

Dr. Patrick A. DeHeer, DPM

[padeheer]

@raena24 Sometimes the patient is not deep enough in anesthesia, therefore require more medication. Best wishes.

Dr. Patrick A. DeHeer, DPM