Persistent Forefoot Pain After Previous Surgical Excision of Morton's Neuroma

Some patients continue to experience forefoot pain in the foot following surgical excision of a Morton's neuroma. This specific clinical situation calls for a structured approach that goes beyond initial presentation management.

Clinical scenario: Forefoot pain persisting after prior surgical excision of a Morton's neuroma. Steroid injection is the most commonly used modality for dealing with pain following surgical excision, yet symptoms may not resolve in all patients, prompting further evaluation of the underlying nerve.

Approach: When pain in the foot continues despite prior surgery, a revision surgical strategy targeting the nerve stump is among the approaches addressed in this protocol. The complete regimen — including the specific surgical technique and decision pathway — is detailed in full behind the link below.

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References

Use of steroid injection is the most commonly used modality for dealing with pain following surgical excision.
Dellon and Mackinnon described a technique of implantation of the nerve stump within the muscle.
Resection of the neuroma proximally with muscle implantation of the new stump can also be used.

DOI: 10.1016/j.jcot.2020.03.024

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