Morton's Neuroma Removal

Removal of a small benign (noncancerous) tumor on the nerves in the toes. The tumor usually occurs between the second and third, or third and fourth toes.

Parts of the Body Involved

Foot, toes

Reasons for Procedure

To alleviate pain, numbness, and tingling caused by the tumor

Risk Factors for Complications during the Procedure

  • Smoking
  • Poor nutrition
  • Recent or chronic illness
  • Use of certain medications
  • Allergy to anesthesia
  • Diabetes
  • Bleeding disorders
  • Circulatory disorders

What to Expect

Prior to Procedure - Medical history, physical exam, x-ray (sometimes)

During Procedure - Anesthesia and/or sedation

Anesthesia - Local or general

Description of the Procedure - A small incision is made in the skin between the two toes that are affected by the neuroma. The neuroma is located and removed by cutting the nerve. The incision is closed with stitches and a bandage is applied. The stitches are usually removed in the doctor's office 7 to 10 days after the surgery.

After Procedure - Laboratory exam of removed tissue

How Long Will It Take? Less than one hour

Will It Hurt? Anesthesia prevents pain during the procedure. You may have some pain during recovery, but you will be given pain medication to relieve this discomfort.

Possible Complications:
  • Recurrence of pain
  • Bleeding
  • Infection
  • Recurrence of tumor
Average Hospital Stay: None, this procedure is usually done on an outpatient basis

Postoperative Care:
  • Keep the surgical area clean and dry
  • Use compression and ice to prevent swelling, as directed by your doctor
  • Keep your foot elevated
  • Take antibiotics (to prevent infection) and pain medication as directed by your doctor

Outcome

Most patients gradually return to full activities within three to six weeks. The small area where the nerve was removed is likely to remain numb forever. Your doctor may prescribe orthotics to help prevent additional Morton's neuromas from occurring.

Call Your Doctor If Any of the Following Occurs

  • Signs of infection, including fever and chills
  • Redness, swelling, increasing pain, excessive bleeding, or discharge from the incision site
  • Cough, shortness of breath, chest pain, or severe nausea or vomiting
  • New, unexplained symptoms