I had a tarpel tunnel release in June for a Morton's neuroma. The MRI showed this condition.

Podiatric surgeon who performed this surgery told me he had "good luck" with this procedure versus the removal of the nerve itself. Understand: HE made the decision, I was not asked.

I never healed. I was off the foot 4 days, post surgically, and was very careful regarding footwear afterwards. No unneccessary walking, standing, etc.

He then gave me a series of 4 cortisone injections to the surgical site telling me "This sometimes does the trick". It didn't.

I am wondering why a Dr would do a less aggressive surgical procedure (tarpel release) when the MRI showed, clearly, it was a mortons' neuroma.

It is now going into 10 months since the surgery and I cannot place my foot on the heel (as in driving) without excruiciating pain into that toe as I had before the surgery. Shoes are uncomfortable to wear, Also cannot bear weight for any length of time - , no walking very far, no track walking.

Please don't suggest I contact him; I'm done with that.

I'd just like an opinion as to why a surgeon would do the less aggressive surgery as opposed to the nerve removal. Is it a fact that the tarpel tunnel release works as well as the nerve removal?

Thank you

My name is Lori and I'm advocate of non-surgical treatment of common foot disorders. I've worked for podiatrists and have been fitting shoes and arch supports for over 12 years, and although I can't tell you why your surgeon chose that particular course of action, I can offer some advise.

Whether we're talking about surgery or Cortizone shots, you need to understand that these methods are only treating the PAIN, not the CAUSE OF THE PAIN. In other words, what causes a neuroma?

A neuroma is simply an irritation and enlargement of a nerve between your metatarsal bones that is a result of the bones pinching together. Sometimes it stems from tight shoes - particularly slip-ons and high heels - sometimes it is simply poor foot function.

The goal is to spread and seperate the metatarsal bones in your foot to eliminate the pressure on the nerve. This is best done by wearing an orthotic that provides agressive metatarsal support.

I'd be glad to make some recommendations if you'd like to contact me at the email address below.

thornwhiskey23@yahoo.com

Well it is true that orthotics are often quite helpful in alleviating neuroma pain. However, if you are still having a lot of pain it may be time for you to make an appointment with another podiatrist for evaluation. You may need to try a course of physical therapy to help with the pain and help reduce fibrosis which can occur after surgery.

If you are interested in try a pair of orthotics I recommend the Lynco Conform orthotics with Metatarsal pad. This will help separate the metatarsals and provide relief from the neuroma. You can find out more about this device by logging onto our website and clicking on the products.

Foot.com staff member