Foot neuropathy or just additional Morton's neuroma problems?

Posted by tnstaafl @tnstaafl, Jan 26 8:39am

75 year old male without any diabetes - I had decompression surgery for two instances of Morton's neuroma in my left foot a few years ago - I choose decompression over a neurectomy because of a quicker recovery and less potential for permanent numbness - it improved things for a while, but now I'm having some reduced numbness in the affected toes again, as well as pain in the rest of my left foot almost immediately anytime I walk barefoot - I've found that Crocs are the only type of shoes that are comfortable for me, and I've tried everything. I don't have any of the systemic conditions that are known to cause foot neuropothy. The several Podiatrists I've been examined by (second and third opinions), have all recommended some form of neurectomy - either a chemical neurectomy (sclerosing injections) or a surgical excision - I'm wondering if there's something else going on in my left foot that they're missing - any suggestions?

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Welcome to this discussion. I had a very painful Morton's neuropathy in one foot several years ago. After discussion of potential surgery with a lower-extremity surgeon, and getting the warning from him that surgery might not "cure" the proglem, I opted to see a local orthotic maker. He made an orthoticc which keeps the arch of the foot high enough to allow the bones in the fore foot to stay apart so the nerves are not pinched. His first try did not provide relief so I went back. He added a bit more height to under the arch, and Violá, no more pain. The addition of height (support) under the arch is not noticeable to me, and it does not affect what kind of shoes I wear, other than I don't wear the othotic in sandals; I get a brand of sandals with a built-in arch support. Hunt for an orthotist with a lot of experience and training. I live in a town where there are Olympic-level athletes who get orthotics to help in any and every way; I can only give him the highest ratings. Find one who is knowledgeable in dealing with Morton's neuropathy. Good luck!

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Profile picture for joanland @joanland

Welcome to this discussion. I had a very painful Morton's neuropathy in one foot several years ago. After discussion of potential surgery with a lower-extremity surgeon, and getting the warning from him that surgery might not "cure" the proglem, I opted to see a local orthotic maker. He made an orthoticc which keeps the arch of the foot high enough to allow the bones in the fore foot to stay apart so the nerves are not pinched. His first try did not provide relief so I went back. He added a bit more height to under the arch, and Violá, no more pain. The addition of height (support) under the arch is not noticeable to me, and it does not affect what kind of shoes I wear, other than I don't wear the othotic in sandals; I get a brand of sandals with a built-in arch support. Hunt for an orthotist with a lot of experience and training. I live in a town where there are Olympic-level athletes who get orthotics to help in any and every way; I can only give him the highest ratings. Find one who is knowledgeable in dealing with Morton's neuropathy. Good luck!

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@joanland
thank you

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Profile picture for parrot53 @parrot53

I also had a very painful Morton's neuropathy years ago; custom orthotics relieved the pain, but after I retired and was no longer wearing dress shoes to work the orthotics didn't fit. I wore shoes like NB for years with no problem but eventually the neuroma flared up again. New DPM simply recommended shoe with good cushioning and a wide toe. Went for a second opinion and that DPM put a strategically placed metarsal pad on the underside of the shoe insole to raise the arch. Solved the problem. Patch probably cost less than $10.

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Profile picture for joanland @joanland

Welcome to this discussion. I had a very painful Morton's neuropathy in one foot several years ago. After discussion of potential surgery with a lower-extremity surgeon, and getting the warning from him that surgery might not "cure" the proglem, I opted to see a local orthotic maker. He made an orthoticc which keeps the arch of the foot high enough to allow the bones in the fore foot to stay apart so the nerves are not pinched. His first try did not provide relief so I went back. He added a bit more height to under the arch, and Violá, no more pain. The addition of height (support) under the arch is not noticeable to me, and it does not affect what kind of shoes I wear, other than I don't wear the othotic in sandals; I get a brand of sandals with a built-in arch support. Hunt for an orthotist with a lot of experience and training. I live in a town where there are Olympic-level athletes who get orthotics to help in any and every way; I can only give him the highest ratings. Find one who is knowledgeable in dealing with Morton's neuropathy. Good luck!

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@joanland
Hello,
Lovely to hear this. Would you mind to share name of orthotic maker and the town. Many thanks 🙂
Linda

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Profile picture for doccameron @doccameron

@joanland
Hello,
Lovely to hear this. Would you mind to share name of orthotic maker and the town. Many thanks 🙂
Linda

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@doccameron
Hi Linda,
I'd be glad to share. The town in Bend, OR, just west of the center of the state and just east of the crest of the Cascade Range. Information on the orthotic maker can be found at:
https://www.petersonsorthoticlab.com/ The website has several informative videos.
Good luck!

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Have you been assessed for methylated B12?

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Profile picture for blowerk1216 @blowerk1216

Have you been assessed for methylated B12?

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@blowerk1216 I am regularly tested for B-12, but I just checked and it is not a test for methylated B-12. Looks like the test of methylated B-12 shows how much is available in active form, but does not test for how much I am able to use. Thanks for asking! This is an important difference.

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Profile picture for joanland @joanland

@blowerk1216 I am regularly tested for B-12, but I just checked and it is not a test for methylated B-12. Looks like the test of methylated B-12 shows how much is available in active form, but does not test for how much I am able to use. Thanks for asking! This is an important difference.

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@joanland yes it absolutely is joan

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Profile picture for joanland @joanland

@doccameron
Hi Linda,
I'd be glad to share. The town in Bend, OR, just west of the center of the state and just east of the crest of the Cascade Range. Information on the orthotic maker can be found at:
https://www.petersonsorthoticlab.com/ The website has several informative videos.
Good luck!

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@joanland
Many thanks for the information. Looks amazing place. Hope I can get there one day 🙂

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Profile picture for doccameron @doccameron

@joanland
Many thanks for the information. Looks amazing place. Hope I can get there one day 🙂

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@doccameron
Hi Linda, Yes, it is an amazing and beautiful place. It was relatively undiscovered until about 2000. Since then the population has mushroomed, and many, especially those who found they could work from anywhere, came during the pandemic. We are seriously short of housing, mean price is now in the $800Ks, and they are few and far between. Many homes sell for >$!M.; that's for a 60-year-old modest (1475 ft sq) 3-bed, 2-bath home if it has any sort of a view. Larger, newer homes cost more. Part of the "industry" is winter sports, supported by a big ski area and a smaller modest one, but both are suffering from a lack of snow this winter. Lumber used to be the economic driver but both big mills shut down in the early 1980s. I've lived here since 1977.

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