Neuroma excision (removal)
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When conservative treatments have not been successful, surgery may be offered to remove the neuroma.
Painful and irritating soft tissue lesions can sometimes be surgically removed particularly if conservative treatments have failed.
Your podiatrist or surgeon should have offered all or some of the following things before surgery is considered:
- Alteration of footwear – wider/softer/deeper shoes
- Mobilisation of the joints
- Change in activity level (periods of rest)
- Orthoses to make the foot more comfortable and attempt to offload the neuroma
- Use of medication to reduce pain levels
- Padding or strapping techniques
- Steroid injection and shockwave therapy if appropriate
The aim of surgery is to remove the neuroma. A small incision will be made in the top (dorsum) of your foot above the site of the neuroma.
This is generally done under a local anaesthetic but your surgeon may offer sedation aswell or general anaesthesia if they feel this is best.
They will use dissolvable stitches if possible and on average you will need to wear post surgical shoe for a few weeks afterwards. This will be relevant on a case by case basis.
Surgery is quoted to be 70-80% effective.
Of course with all surgery there are risks. The most common risks we may see with neuroma surgery:
- A stump neuroma or pain from scar tissue near the surgical site
- Post operative infection
- Delayed healing
- Nerve damage