Question
I recently had surgery to remove a large neuroma in my right foot. However, the padding in the ball of my foot still feels as if it is twice the size of that on my left foot (as it did before the surgery). I am now at six weeks post-op and the swelling from the surgery has subsided, but there is something in the ball of my foot that causes it to bear too much weight. My toes barely touch the floor when barefoot. I have gone through three expensive orthotic devices without improvement. I have spent more than $1000 on shoes, mostly 4EE New Balance and Asics. Still it feels as if something in the ball of my foot needs to be removed. There's just too much tissue in there, and I must change shoes two or three times a day and take a pain killer. I am a teacher and spend most of the day on my feet. Thank you for your consideration.

Answer
Hi Greg,

Following neuroma surgery of the foot you can develop scar tissue or a condition known as stump neuroma.  Also, during the surgery if the tendons or muscles are compromised you can get abnormal position of the toes.

I would not continue the orthotic game.

I would have an MRI to identify if there is a mass in the soft tissue or some other problem.  I would also have the area checked to make sure that the neuroma was actually removed.

You may benefit from cortisone injections and physical therapy.

I would also consider Cryosurgery if all else fails.  I would be careful about having further neuroma removal.

When in doubt seek another opinion.


Sincerely,

Marc Katz, DPM
Tampa, FL
Advanced Podiatry
www.thetampapodiatrist.com
www.tampacryosurgery.com


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