Post Op Morton's Neuroma--longer recovery than normal?
I am 15 weeks since having 3 large Morton's Neuroma's removed from my left foot.
Background. I was diagnosed with the MN on my left foot by Xrays done in my podiatrist's office. I went the conservative route for 8 years..cortisone shots, 2 pairs of custom fit orthotics..until I could no longer handle the pain. I had surgery on December 20th. I was off it completly for 2 days (bathroom/meals only). I elevated and iced it as much as I was told to. I have a walking boot and now I am to walk on it for 1 hour out of the day in regular sneakers (which I am doing). I am also taking the Naproxen.
I am just wondering if I should be healed by now? The podiatrist (whom I do trust) has told me there are 3 stages of healing and I am in the 2nd stage. I work with a nurse and she told me I should get a 2nd opinion that I should have already been out of this walking boot. My toe looks deformed, but it was raised before getting the surgery done...sure it looks worse, but I am splinting it and my bunion doesn't help as it is pushing it the other way.
Now she has me 2nd guessing my podiatrist.
I am a little concerned as it is virtually impossible to diagnose a neuroma with an xray. You would need an MRI or even an ultrasound to actually visualize a neuroma.
Although I suppose it is possible to have three neuromas in one foot, I have never seen it; the most I have ever removed is two.
Lastly, I agree with you that after 15 weeks, although you may not be completely healed, you should be further along than you appear to be.
My rule of thumb in evaluating the progress of a patient post op is for them to ask themselves, "am I any better than I was compared to the previous week?". If the answer is yes each week, then I know the patient is getting better, as some people do take longer than others.
If you have reached the point where you are not noticing improvement of any nature on a week to week basis, I would be a bit concerned.
The only way you will get a true opinion as to what is going on (if anything) is to get another opinion from a podiatrist in your area.
If you get mixed signals from the second opinion, consider getting a third opinion.
Marc Mitnick DPM