Neuroma Surgery – Relevant Anatomy
A Mortons neuroma is an enlargement of one of the digital plantar nerves of the foot. The neuroma typically occurs at the bifurcation (division) of the nerve, as it divides to supply the skin sensation on either side of the webspace (adjacent toes).
Neuroma Surgery – What does the procedure involve
Dr. Smith performs removal (excision) of painful neuromas via a skin incision on the top of the webspace between the toes.
Neuroma surgery is carried out as a day case, and you will be able to go home the same day.
You will arrive in hospital 1-2 hours prior to your procedure. You will be met by the anaesthetist and hospital team. A local anaesthetic block will be discussed with you, to reduce any postoperative discomfort.
The technique for neuroma surgery, involves making a small longitudinal incision on the top of the webspace of the affected toes.
Following superficial dissection, the offending neuroma is identified. The neuroma is excised proximal to the bifurcation of the nerves, to ensure that there are no residual branches of the nerve that may cause pain during weight bearing. The incision is closed with an absorbable suture, and a bandage is applied.
You will be able to return home the same day, and will be seen again in Dr. Smith’s rooms 2 weeks following the procedure. You are able to commence immediate weight bearing and are encouraged to keep your leg elevated in the early postoperative period where possible.