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A modified technique for Morton's neuroma. Decompression with relocation
George R Vito1, Leonard M Talarico
1Atlanta Leg Lengthening and Deformity Correction Center, Foot and Leg Centers of Georgia, Macon, GA 31210, USA.
Summary
Interdigital nerve decompression with relocation effectively treats chronic neuritic symptoms, offering rapid symptom relief and early return to normal activities for patients with Morton's neuroma.
Area of Science:
- Podiatric Surgery
- Neurosurgery
- Orthopedic Surgery
Background:
- Chronic neuritic symptoms, often associated with Morton's neuroma, can significantly impact quality of life.
- Conservative treatments may not always resolve interdigital nerve compression syndrome.
- Surgical intervention is considered when non-operative management fails.
Purpose of the Study:
- To evaluate the efficacy of interdigital nerve decompression with relocation for chronic neuritic symptoms.
- To assess the recovery timeline and patient outcomes following this surgical procedure.
- To determine if this technique is a suitable primary treatment for interdigital nerve compression.
Main Methods:
- Interdigital nerve decompression with relocation was performed on 82 feet in 78 patients.
- The primary indication was chronic neuritic symptoms unresponsive to conservative care.
- Patient outcomes, symptom resolution, sensation return, and return to activities were recorded.
Main Results:
- 95% of patients experienced complete resolution of preoperative symptoms within an average of 7 days.
- Full sensation was restored in an average of 5 weeks post-surgery.
- Patients could wear shoes with a wide toe box within 8 days postoperatively.
Conclusions:
- Interdigital nerve decompression with relocation offers rapid resolution of neuritic symptoms.
- This surgical technique facilitates an early return to normal daily activities.
- Nerve decompression with relocation is a recommended procedure for Morton's neuroma and interdigital nerve compression syndrome.