Has anyone had a neurectomy?

[FeetStreet]

Hi, I'm booked in for a foot neurectomy and have been told it will be very painful... I'd be really grateful to hear anyone else's experiences as it's come along quickly and I'm nervous!

[orangeflutie]

Hmm not sure about surgery being a last resort. It depends whether you feel happy living with restrictions. I couldn't accept not being able to run. I had to stop running whilst waiting for surgery and tried cycling, going to the gym and walking. However eventually it all became too painful and I felt quite depressed as exercise was something I really enjoyed and helped with stress.
I don't know if you feel the same about exercise Jochocchip? My surgeon was also a keen runner so I think he understood.

[orangeflutie]

Sorry jchocchip.

[orangeflutie]

Footle not everyone feels the same about exercise. Some people hate it even though it has benefits.

Agree that surgery is not always successful and expensive. However each case is different. Where surgery has a high success rate it moves further up the list. Also for many people surgery isn't the last resort, it is often the only option if they want to carry on living.

Apologies to OP for hijacking.

[orangeflutie]

You're welcome and I hope all goes well for you x

[FeetStreet]

Hello, I'm back! Interesting to read your situations and feelings about surgery. I'm having a wobble about it because (and I know how silly this might sound at this stage, three days pre-op) I'm worried it's been diagnosed as the wrong thing. The thing is, when I had my first ultrasound, the sonographer immediately said, "Ah, the problem here is that you have a ruptured plantar plate" and when I came home and read about that it did seem to fit my symptoms. I saw that you mentioned a weird clunking toe, footle? That's my biggest problem. If I walk straight, my fourth toe does a kind of snapping/clunking/crunching thing which startles me and then goes as quickly as it came. Is that anything like yours is? However, when I've seen the podiatrists since, they've said that the tenderness underfoot is classic Morton's neuroma, and that with a plantar plate the toe would be up in the air more, not fixed down. When I went to the doctor first time around I said that I'd go as far as to have my toe removed, I was so sure that the problem was in the toe!

Interested to see what your gp says, jchocchip. Mine is in the area where there is bursitis too, although I'm a bit unsure about what that is.

Like you all say, having surgery is a massive thing, and it could either change life for the better (I've been going through this for nine years now, so I'm pretty desperate to be able to walk freely once again - something I thought I'd never do again only a year ago, before diagnosis) but there is a chance it will make things worse...

[FeetStreet]

Hi Footle, yes, lovely thanks. Last chance for a break for a while!

That's great advice, thanks. I wasn't told anything about Vit. C, but it makes sense. I'll get some this evening when I stock up the house.

I'm sure the operation is just as you describe it . The podiatrist had in the past said that I should be hoping it's a neuroma as it's a simpler op, going through the top of the foot rather than the bottom, as they have to do for a plantar repair. I spoke to the surgeon about it briefly and he said that my foot doesn't look like it has a major plantar rupture. It's just the feeling in my toe, like it's not joined on quite right which makes me worried about it. How does your toe 'clunk' as you put it? Is it when you walk and it is extended as you push off? And what kind of pain is it? Sorry for all the questions - I just would love to know if this particular thing really is neuroma pain and whether it's likely to be fixed. I have a whole ton of issues in this foot (arthritic bunion, small plantar rupture, bursitis, neuroma all diagnosed) and I'd love to have some idea of what might feel better post-op.

A nurse relative of my husband's said that I should start taking painkillers the night before the operation to get them into my system, so that the pain does hit too hard when the anaesthetic wears off. I don't know if this is something your hospital mentioned?

I hope you've had a good week and are feeling more settled about your op than I am!

[FeetStreet]

Hi footle, so sorry to have disappeared; I got this new wireless gadget in preparation for the bedrest and in setting it up I burnt out our modem (top tip - only ever use the 9v plug which came with the product...).

Thank you so much for your well-wishes. I had the op today and it went better than I could have hoped for. The initial knee-block I had put in was unpleasant - they send electric shocks through your leg for what seems like an eternity- but you might be familiar with that already. Then the actual operation took 10-15 minutes. They had 80's soft rock music in the background and a lovely nurse held my hand and talked enough to distract me from the light tugging I could feel. After they'd finished they showed me a sample pot with two bursas in it- the surgeon said that they just popped out on doing the incision so not as much nerve may have come out because they will have caused the greatest problems.

I'm glad you've got a brilliant dh. I've realised how important that is at a time like this. How long is it until your op now, footle? Sorry if this is long/waffly/full of mistakes: it's the combination of new gadget and not worn off sedative! Speak soon.

[FeetStreet]

Yes, it was kind of exciting in that I felt like something pro-active was happening, at last! It does feel very odd having this bedrest too. I haven't had an hour like this for five years! However, I'm nervously awaiting the end of the anaesthetic... I would much rather have gone with GA too, but I was told that the podiatry clinic I go to is much better at these neurectomies than the general hospital, and you can only have sedation at the clinic (which set in an hour after the op, strangely enough).

Anyway, I'm glad you're all set up, and yes, you might find you have surprise bursas too. The looked like white stringy sort of balls of bacon fat. The surgeon says they were attached to the nerve so causing pain. I'll be interested to hear how yours goes too and what they find. Take care.

[orangeflutie]

FeetStreet good to hear your op went well:) Make sure you get plenty of rest and wish you a speedy recovery x

[FeetStreet]

Thanks orangeflutie! I'm having a good rest

[FeetStreet]

x

[FeetStreet]

No, nothing like the pain I was expecting. I think it'll be a different matter when I'm moving around, but when I'm lying down (all the time) it just feels like my toes are being pulled apart. I'm taking co-dydramol. You'll be pleased to hear that one of the nurses who'd had bunion surgery said that a neurectomy wouldn't be as bad as that for healing.

[FeetStreet]

Aha yes I've read the book called 'les grandes horizontales'. That's me for this week, but with a bit less excitement (and a lot less syphilis thank God)!

You should breeze this, having had bunion surgery

[FeetStreet]

Day two better in some ways- less pain in foot- worse in others- back ache and tired of lying in bed! Sounds silly but I feel a bit claustophobic not being able to put my leg down and move. When I do, for showering etc. it does become quite painful. Still, small price to pay if it does fix things in the end. How long until your op, now, footle?

[orangeflutie]

FeetStreet I remember the claustrophobic feeling. Have you been told to just stay in bed? I found what helped me was resting in different places. I sat out in the garden as it was lovely weather at the time and I found I felt less trapped being outside. I was allowed to walk on my heel for very short distances.

I also kept up a routine of having a bath in the morning with my limbo instead of a shower. I do remember shuffling up and downstairs on my bottom though which got quite tiresome after a while.

You just need to keep telling yourself it won't last forever and it really doesn't.

Hope today is a good one x