Morton's Neuroma Case History

Disclaimer: The case histories and outcomes presented here are for general information only and do not replace the advice of a health professional. You should always consult a health professional who can take your own particular circumstances into account and advise you on that basis.

Patient History

A 67-year-old gentleman presented with:

• 40-year history of pain in the ball of his left foot
• Burning pain and tingling sensation
• Swelling in the affected area
• Pain with every step
• Sensitivity to even bed sheet contact
• Restricted mobility affecting quality of life
• Work capacity concerns
• Previous failed treatments including two cortisone injections

Clinical Assessment

• Area of pain: left forefoot between 3rd and 4th metatarsals (3rd interspace)
• Common site for nerve entrapment
• Ultrasound investigation confirmed moderately large neuroma/bursal complex

Diagnosis

Left 3rd interspace neurofibrosis (Morton's Neuroma)

Treatment

After reviewing conservative and surgical options, surgery was chosen due to:

• Long history of pain
• Failed conservative treatments

The surgical procedure involved:

• Day procedure
• Approximately one hour duration
• Removal of neuroma from interspace
• Post-operative shoe worn for about 4 weeks
• Regular follow-up visits for redressing and care instructions

Outcome

At 8 months post-surgery:

• Patient reports surgery "changed my life immensely"
• Complete pain relief
• Returned to normal daily activities without discomfort