Author: Foot Doc
Date: 5/6/2007 8:32 pm PDT
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DISCLAIMER:
THE FOLLOWING IS OFFERED GRATIS AS GENERAL INFORMATION ONLY, AND, AS SUCH, MAY NOT BE APPLICABLE TO THE SPECIFIC QUESTIONER AND/OR HIS/HER PROBLEM. IT IS CLEARLY NOT BASED ON ACTUAL KNOWLEDGE AND/OR EXAMINATION OF THE QUESTIONER OR HIS/HER MEDICAL HISTORY, AND IT CAN NOT AND SHOULD NOT BE RELIED UPON AS DEFINITIVE MEDICAL OPINION OR ADVICE. ONLY THROUGH HANDS- ON PHYSICAL CONTACT WITH THE ACTUAL PATIENT CAN ACCURATE MEDICAL DIAGNOSIS BE ESTABLISHED AND SPECIFIC ADVICE BE GIVEN. NO DOCTOR/PATIENT RELATIONSHIP IS CREATED OR ESTABLISHED OR MAY BE INFERRED. THE QUESTIONER AND/OR READER IS INSTRUCTED TO CONSULT HIS OR HER OWN DOCTOR BEFORE PROCEEDING WITH ANY SUGGESTIONS CONTAINED HEREIN, AND TO ACT ONLY UPON HIS/HER OWN DOCTOR’S ORDERS AND RECOMMENDATIONS. BY THE READING OF MY POSTING WHICH FOLLOWS, THE READER STIPULATES AND CONFIRMS THAT HE/SHE FULLY UNDERSTANDS THIS DISCLAIMER AND HOLDS HARMLESS THIS WRITER. IF THIS IS NOT FULLY AGREEABLE TO YOU, THE READER, AND/OR YOU HAVE NOT ATTAINED THE AGE OF 18 YEARS, YOU HEREBY ARE ADMONISHED TO READ NO FURTHER.
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I don't know who might have informed you that neuroma surgery is not successful in the long term, as in my extensive experience, skillful surgery performed on a correct diagnosis of Morton's neuroma is a highly successful procedure. As with any surgical or medical procedure, failures and side effects are certainly facts of life, but in my hands, surgical removal has been quite effective. I would judge that I have had excellent results at least 80-90% of the time. The two main types of surgical procedures are the excision of the neuroma and one which simply removes the pressure on it by sectioning the intra-metatarsal ligament, and generally repositioning of the nerve segment. I personally prefer the excision, but that is not to say that others do not prefer the decompression procedure. In addition, some have advocated neurolysis with alcohol injections. On the other hand, I have rarely seen permanent resolution of this problem with strictly conservative care. It is essential, as with any procedure, that the diagnosis be correct if successful results are to be forth-coming. |
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