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Neuroma Excision

WHAT YOU NEED TO KNOW:

Neuroma excision is surgery to remove a swollen and enlarged nerve called a neuroma, or a Morton neuroma. It usually occurs in the ball of your foot, between your third and fourth toes. The neuroma becomes pinched between toe bones and ligaments and causes pain when you walk. Surgery may be used to relieve pressure from the neuroma, or to remove it.

Foot Anatomy

DISCHARGE INSTRUCTIONS:

Seek care immediately if:

  • Your foot, ankle, or leg feels warm, tender, and painful. It may look swollen and red.
  • You cannot move your foot or leg.
  • You see red streaks coming from the surgery wound.

Contact your healthcare provider if:

  • You have a fever or chills.
  • You have questions or concerns about your condition or care.

Medicines:

You may need any of the following:

  • Prescription pain medicine may be given. Ask your healthcare provider how to take this medicine safely. Some prescription pain medicines contain acetaminophen. Do not take other medicines that contain acetaminophen without talking to your healthcare provider. Too much acetaminophen may cause liver damage. Prescription pain medicine may cause constipation. Ask your healthcare provider how to prevent or treat constipation.
  • Antibiotics: This medicine is given to fight or prevent an infection caused by bacteria. Always take your antibiotics exactly as ordered by your healthcare provider. Do not stop taking your medicine unless directed by your healthcare provider. Never save antibiotics or take leftover antibiotics that were given to you for another illness.
  • Take your medicine as directed. Contact your healthcare provider if you think your medicine is not helping or if you have side effects. Tell him or her if you are allergic to any medicine. Keep a list of the medicines, vitamins, and herbs you take. Include the amounts, and when and why you take them. Bring the list or the pill bottles to follow-up visits. Carry your medicine list with you in case of an emergency.

Self-care:

  • Rest often after surgery. This will help your incision wound heal.
  • Elevate your foot above the level of your heart as often as possible. This will reduce swelling and pain. Prop your leg on pillows to keep your foot elevated comfortably. The swelling should go down within about 2 weeks, but it may take 3 months for all the swelling to be gone.
  • Apply ice on your foot for 15 to 20 minutes every hour or as directed. Use an ice pack, or put crushed ice in a plastic bag. Cover it with a towel.

Activity:

  • Wear the postoperative shoe as directed for the first 2 to 3 weeks after surgery. Do not put pressure on the ball of your foot when you walk. Put your weight on your heel. Use crutches if directed.
  • Do not drive until your healthcare provider says it is okay. This will depend on which foot had the neuroma and what kind of car you drive.
  • Ask when you can return to work. You may need to wait up to 4 weeks if you have to walk or do physical activities for your job. You may be able to return to work sooner if you work at a computer or have a less active job.

Follow up with your healthcare provider as directed:

You will need to return to have your stitches removed and your incision wound checked. Write down your questions so you remember to ask them during your visits.

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The above information is an educational aid only. It is not intended as medical advice for individual conditions or treatments. Talk to your doctor, nurse or pharmacist before following any medical regimen to see if it is safe and effective for you.

Further information

Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances.