Morton's Neuroma - Foot Surgery
Do you suffer from burning foot pain that hinders your daily life? Morton's neuroma in Tunisia is a painful foot condition affecting the interdigital nerves, usually between the 3rd and 4th toes. In Tunisia, specialized orthopedists offer minimally invasive surgical treatment at attractive prices for lasting relief.
What is Morton's neuroma?
Morton's neuroma is a foot condition characterized by a benign thickening of nerve tissue around the interdigital nerves, usually between the 3rd and 4th toes. This condition causes intense pain of a burning nature, tingling and numbness when walking or standing. Morton's neuroma is more common in women due to wearing narrow shoes and high heels.
Causes of Morton's neuroma
The exact cause of Morton's neuroma remains uncertain. Several contributing factors have been identified. Wearing narrow or high-heeled shoes compresses the forefoot. Abnormal walking mechanics can increase pressure on the nerves. Impact sports activities may be a cause. Repeated trauma is a risk factor. Anatomical abnormalities are also risk factors.
Symptoms of Morton's neuroma
Symptoms of Morton's neuroma are characteristic. Pain is described as a burning or tingling sensation. It is located between the toes, especially when walking. Numbness or a foreign body sensation may be felt. Pain worsens with narrow or heeled shoes. Relief occurs by removing shoes or massaging the foot. Symptoms are generally unilateral but can be bilateral in 20% of cases.
Diagnosis of Morton's neuroma
Diagnosis of Morton's neuroma is essentially clinical. Medical examination looks for pain on palpation of the interdigital space. The compression test is often positive. Lateral pressure reproduces pain and may cause a click. MRI is not systematic and can give false positives. Ultrasound can confirm the diagnosis. X-rays rule out another cause of pain.
Treatments for Morton's neuroma
Several therapeutic options exist for Morton's neuroma. Conservative treatment is the first option to consider. It includes wearing wide-toe, low-heeled shoes. Orthopedic insoles are recommended to offload the metatarsal. Corticosteroid injections have an anti-inflammatory effect. Physiotherapy includes stretching and massage. Surgical treatment is indicated in case of failure. Minimally invasive surgery excises the neuroma through a small 1 to 2 cm incision.
The surgery procedure
Morton's neuroma surgery is a simple and quick procedure. It is performed under local or general anesthesia depending on preferences. The surgeon makes a small 1 to 2 cm incision. He locates the neuroma and excises it precisely. The wound is closed with a suture. The procedure lasts 20 to 45 minutes. It is performed on an outpatient basis with discharge the same day. A compression dressing is applied.
Post-operative recovery
Post-operative recovery after Morton's neuroma surgery is simple. Post-operative pain is moderate and controlled with painkillers. Walking is possible the next day with comfortable shoes. Swelling and bruising are normal and disappear in 1 to 2 weeks. Sutures are removed in 10 to 14 days. Return to daily activities is possible in 1 to 2 weeks. Return to sports is progressive, after 4 to 6 weeks.
Results of surgery
Results of Morton's neuroma surgery are excellent. Pain relief is immediate in most cases. The success rate is 85 to 95%. Patients regain normal pain-free walking. Quality of life is significantly improved. Recurrences are rare, occurring in 5 to 10% of cases. Wearing appropriate shoes is recommended to prevent any recurrence.
Risks and complications
Morton's neuroma surgery carries risks, although rare. Hematoma is possible. Infection is rare. Algodystrophy may occur. Painful scar is a risk. Recurrence occurs in 5 to 10% of cases. Temporary or permanent loss of sensation is possible. Phantom pain may appear. Anesthetic complications are also possible. Choosing an experienced surgeon minimizes these risks.
What is the price of Morton's neuroma treatment in Tunisia?
Tunisia offers very competitive prices for Morton's neuroma treatment. Minimally invasive outpatient surgery costs between €1,200 and €1,800. Surgery with overnight hospitalization is priced from €1,500 to €2,200. Bilateral treatment of both feet ranges from €2,200 to €3,200. A complete package includes consultations, procedure, hospitalization and follow-up. These prices are up to 50 to 60% cheaper than in Europe, without compromising on quality.
Frequently Asked Questions about Morton's Neuroma
1Can Morton's neuroma disappear without surgery?
In some cases, symptoms of Morton's neuroma may improve with conservative treatments: wearing wide shoes, orthopedic insoles, corticosteroid injections or physiotherapy. However, these treatments only relieve symptoms without eliminating the neuroma. If pain persists, surgery may be necessary.
2How long does Morton's neuroma surgery take?
Morton's neuroma surgery is relatively short. It generally lasts between 20 and 45 minutes depending on the technique used and the complexity of the case. The procedure is performed on an outpatient basis, allowing the patient to go home the same day.
3Can Morton's neuroma recur after surgery?
The risk of recurrence after Morton's neuroma surgery is low, estimated at 5 to 10%. Recurrence can occur if the neuroma is not completely excised or if a new neuroma forms in another interdigital space. Wearing appropriate shoes reduces the risk of recurrence.
4What is the difference between Morton's neuroma and metatarsalgia?
Morton's neuroma is a localized nerve condition (interdigital nerve involvement) with burning or tingling pain between the toes. Metatarsalgia is more diffuse pain in the sole of the foot, often related to mechanical overload of the metatarsal heads. The two can coexist.
5Is Morton's neuroma more common in women?
Yes, Morton's neuroma is about 8 to 10 times more common in women than in men. This prevalence is mainly due to wearing narrow high-heeled shoes that compress the forefoot. Women are also more prone to foot conditions due to biomechanical factors.
6When can I resume driving after Morton's neuroma surgery?
Driving can generally be resumed after 1 to 2 weeks, when pain is controlled and foot mobility is sufficient to perform emergency braking. It is recommended to wait for the surgeon's advice before getting behind the wheel, especially if the right foot is operated.
7Can Morton's neuroma affect both feet at the same time?
Morton's neuroma is generally unilateral and affects only one foot in the majority of cases. However, about 1 in 5 patients (20%) may have a neuroma in both feet (bilateral). This bilaterality is more common in people with significant risk factors (inappropriate footwear, impact sports activities).
Why choose Tunisia for your Morton's neuroma?
Tunisia is a recognized destination for orthopedics and foot surgery. Its orthopedists are trained to international standards. They have extensive experience in minimally invasive surgery techniques. Clinics are modern with cutting-edge technology. Prices are competitive with significant savings. Care is prompt and personalized. Tunisia offers a pleasant setting for recovery.
In Conclusion
Morton's neuroma is a painful foot condition that can be effectively treated by minimally invasive surgery. In Tunisia, Tunisie Esthetic offers you quality care, performed by specialized orthopedists, with modern techniques and competitive prices. Feel free to contact us to discuss your situation and obtain a personalized quote.