Excision Morton's neuroma

At Spire Clare Park Hospital in Farnham, Surrey, we have experienced orthopaedic surgeons who carry out Morton’s neuroma excisions routinely.  They work within our laminar flow theatres to reduce the risk of infection.  With the support of our physiotherapists, they aim to get you back to fitness as quickly as possible.  Ask your GP for a referral to the orthopaedic team Spire Clare Park Hospital.  Alternatively, contact the customer services team for more information.

About Morton’s neuroma

Morton's neuroma is a swelling of the digital nerve (nerve that supplies sensation to the toes) just before the nerve splits into two to supply the webspace (Opposing halves of two adjacent toes). Frequent complaints are of pain on bearing weight which may be relieved on removing footwear. There may be abnormal sensation (pins and needles) in the webspace) and the sensation of treading on a small marble.

About the surgery

The aim of the procedure is to remove the neuroma along with a section of normal neural tissue both proximal and distal to the lesion.

A Morton’s neuroma can be approached via a dorsal or plantar approach. The dorsal approach divides the deep transverse ligament but may have fewer problems with wound healing and scar related discomfort. A dorsal longitudinal incision is begun over the centre of the web space (between the MTP joints) and extending 5cm proximally.  The neuroma is then removed along with a small section of nerve both proximal and distal to it. This ensures complete removal of the neuroma. The specimen is then sent to the histology laboratory (to confirm diagnosis) and the wound closed with nylon sutures.


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