I would think physiotherapy will be your next step. How much longer? not moderated or reviewed by doctors and so you should not rely on opinions or advice given by other users in Tried physio first. After the cast is removed, remember: Stiffness and weakness in the limb are common issues. Physio? Could there be nerve damage? A small amount of pain and swelling is to be expected after foot or ankle surgery; however, if the pain and swelling is significant and does not subside, it could be another indication that the cast is too tight. After the incision is completely healed, massaging the forefoot can help prevent the development of scar tissue. This can cause numbness, tingling, or pain similar to what you had before the surgery. The majority of people with Mortons neuroma are able to find relief with conservative treatments, which may involve a change in footwear (wearing shoes with wider, stiffer soles that are well padded and low heels), custom orthotic therapy, physical therapy, nonsteroidal anti-inflammatory drugs (NSAIDs), corticosteroid injections, alcohol injections, or a combination of these therapies. I hope you have a speedy recovery Aly! Keep it clean. A. While surgery is successful in many cases, the reported long-term outcomes of neuroma excision vary. Surgery is rarely needed for people suffering from Mortons neuroma, and alcohol injectionsdirect injection of dilute alcohol (4%) into the area of the neuromaare successful in most cases. What's next? It is often used to treat bunions but may be used for intermetatarsal neuroma if the metatarsal is malpositioned or malformed. Tore two ligaments. This may be caused by too much pressure on the nerves. Your podiatrist may discuss surgical treatment options with you if your symptoms have persisted or worsened after trying multiple conservative treatments. Many people use orthotics to improve the function and stability of their feet. Other types of procedures for Mortons neuroma include: You will be given a prescription for a pain medication, such as acetaminophen. Surgery to correct a Mortons neuroma can be done in your podiatrists office with local anesthesia or with IV sedation and local anesthesia. Try our Symptom Checker Got any other symptoms? Follow Posted 4 years ago, 3 users are following. The child may limp with or without pain. This activity may be uncomfortable but should not be painful. aly160 Sooo.it's been almost 5 months post injury. Care after Cast Removal Your child's arm or leg is still healing even after the cast for a broken bone comes off. If conservative treatment does not relieve your symptoms, however, you may require a Mortons neuroma excision. Could there be nerve damage? The process may be different as far as ligament injuries go. Patients who have cryogenic neuroablation are less likely to see symptoms return. Foot numbness can occur due to underlying diseases such as the following. Most children do NOT need physical therapy to walk or move . It was x-rayed and casted on Aug 13. You will need to complete any pre-operative tests or laboratory work prescribed by your doctor. What causes that? Numbness and tingling in your hand or foot. This can cause numbness, tingling, or pain similar to what you had . Complete recovery typically takes three to six weeks. The relief you feel after a cast is removed from your leg or foot can be quickly replaced by a feeling of unease about walking again. The neuroma is dissected free of the nerve to which it is attached and excised. I know how frustrating this experience must be. We want the forums to be a useful resource for our users but it is important to remember that the forums are Patient aims to help the world proactively manage its healthcare, supplying evidence-based information on a wide range of medical and health topics to patients and health professionals. Posted To remove a neuroma, a small incision is made in the web space between the two affected toes. Your physiotherapist or consultant will tell you when you can put any weight through your foot after your cast is removed. 5 years ago, Deficiencies; in vitamins like B12 can lead to foot numbness symptoms.Disease-related foot numbness causes. Surgery for a bunion can involve cutting and realigning bone, repositioning muscles, tendons, and ligaments in the foot; and fusing or replacing a joint. My foot is always numb now. Other complications associated with this surgery are described below. M4 Metacarpal cracked and M5 Metacarpal broken. Wasn't healing so my orthopaedic surgeon put me in walking cast for 6 weeks. I broke my ankle. You may have to refrain from taking aspirin and NSAIDs for one week prior to surgery and refrain from eating or drinking anything after midnight the night before surgery. vanessa2018 Hi all, I broke my wrist on 3rd April after I fell in my garden and had my cast removed on 9th May. Read our editorial policy. Bunion surgery fixes a bony outgrowth at the base of the big toe. 4 users are following. Why? as being in breach of those terms. Tore two ligaments. Cryogenic neuroablation or cryo injection therapy: During this procedure, extremely cold temperatures are applied to the nerves to destroy nerve cells and the myelin sheath that covers the nerve. The cast can cause discomfort while it is on, as well as after it is removed, due to inflammation, and the pain can impede rest and healing. Increased pain or throbbing inside the cast; Numbness, tingling or "pins and needles" feeling in fingers/toes; Skin under the cast feels like its burning or stinging; . Gently wash the limb with mild soap and a soft cloth. On the day of your surgery, arrive on time and have someone drive you to and from the doctors office, or arrange for someone to pick you up. Does this rare condition affect your child? Feels numbness or tingling in the injured hand or foot; Feels burning or stinging under the cast; Develops excessive swelling below the cast; Can't move the toes or fingers of his or her injured limb, or they become blue or cold; Says the cast feels too tight or too loose; Develops red or raw skin around the cast Most patients who undergo a Mortons neuroma excision, in which the neuroma and part of the nerve are removed, will experience complete relief from pain but will suffer some permanent numbness of the adjacent toes. The wound may be closed with an absorbable suture or with stitches, and the foot is wrapped in a compressive dressing. High-impact, contact sports should be avoided for a minimum of 4 to 6 weeks after removal of the cast. Bunion removal is a surgical procedure that corrects a deformed area of the foot near the big toe. It comes off tomorrow. All rights reserved. Learn about the various types of orthotics used to help restore mobility. Some mild bruising and bleeding is normal after foot surgery. Be sure to call your foot surgeon if your pain seems to be out of proportion with the procedure that was performed. What's next? Metatarsal osteotomy: This surgery involves cutting the metatarsal bone of the big toe and realigning the bone. The goal is to reduce the squeezing action by the metatarsals and remove the irritation on the nerve by the ligament. It is not the intention of FootVitals.com to provide medical advice, diagnosis, or treatment recommendations. How will I know when I can walk without crutches? Patients are often given a post-operative shoe to wear. Symptoms are often equal in both feet. Metabolic: Chemical reactions in the body are disrupted by metabolic disorders like diabetes and fibromyalgia, potentially causing nerve disorders and numbness. Exercise all joints through the full range of movement as much as can be tolerated. Your surgeon will continue the incision deeper between the metatarsals (the bones behind the toes) to locate the neuroma. A portion of the involved nerve is also removed (neurectomy). . 18 December, 2018 Having a broken bone is a painful injury in and of itself, and a cast may be necessary to heal the bone and keep it immobilized 1. Find out when to see your doctor, and much more. It is common for children to limp for a few weeks after a leg cast is removed (up to a year for a thigh/femur fracture). After being immobilized for weeks or even months, your muscles and joints may be weak and stiff. Use of the forums is subject to our Terms of Use Tried physio first. My fingers also felt very weird to touch. Broke my right hand back on August 11. The outcome may depend on the location of the neuroma, and on which web space is affected. The most common complication of Morton's neuroma excision is numbness in the toes, which may be permanent and can cause problems with footwear. Sep 24, 2010 (Edited) Well, this is a bit odd. The most common complication of Mortons neuroma excision is numbness in the toes, which may be permanent and can cause problems with footwear. This may be caused by too much pressure on the skin. Another risk of this surgery is a scar tissue or stump neuroma, which develops when there is irritation at the end of the cut nerve. From immobilization? Intermetatarsal ligament release (decompression): This is a simple operation to release the ligament between the metatarsal bones. Follow your surgeons instructions regarding preparation for surgery. What to Expect. I was told to partially weight bear 30% the first week, 60% the second etc., and was given exercises to do. IV sedation requires the assistance of an anesthesiologist to administer the medication and monitor your vital signs. During your recovery, gradually increase the amount of weight you apply to the foot during normal activities. Make sure you understand the risks and benefits of the surgery and discuss any concerns with your surgeon. Mortons neuromas in both feet can be corrected at the same time, or in two separate procedures. The dressing should be kept on until the first post-operative office visit, which is usually 10 to 12 days after surgery, when your surgeon will change or remove it. 1 The initial cast may need to be replaced during the treatment period, as it's common for a common for the case to become loose as the initial swelling begins to come down. Shortly after the cast came off I noticed swelling in my wrist and increased swelling in my fingers. Another risk of this surgery is a scar tissue or stump neuroma, which develops when there is irritation at the end of the cut nerve. Most patients have swelling of the foot for a few weeks after surgery. I hope your transition from cast to no cast goes well. It comes off tomorrow. The motion of the toes may be limited while swelling persists. Excessive swelling below the cast. Pain After Removing a Cast Ondrej Novotny - stock.adobe It's not uncommon to experience some pain after having a cast removed. Remember to: Wash and moisturise the area dry and flaky skin is normal after a cast is removed. This procedure will not cause any residual numbness in the toes. Posted 5 years ago, 4 users are following. You can take simple painkillers such as paracetamol to help. Traditionally, the incision has been done on the dorsal side, or top, of the foot, although it can be done using a plantar approach (through the bottom of the foot). respect of any healthcare matters. Recovery. By using this website, you agree to our, Mortons Neuroma Excision What to Expect, Peripheral Arterial Disease in the Feet - What You Can Do, Poor Circulation in Feet - What You Should Know, Top of Foot Pain - Symptoms, Causes & Treatment. You could make an appointment with your doctor to ask your questions. The dressing holds the foot securely in place, much like a cast, to allow healing. ________ Areyou aged over 50? It was such a relief for me when my cast was removed. Did not have any issues or problems of any kind. This is all so frustrating Thank you for the support . Egton Medical Information Systems Limited. Why? Registered in England and Wales. Foot pain can sometimes be a sign of an underlying condition that requires medical attention. Loss of active movement of toes or fingers. This page was last updated on January 1st, 2016. Registered number: 10004395 Registered office: Fulford Grange, Micklefield Lane, Rawdon, Leeds, LS19 6BA. If the limping becomes worse, not better, over the first 2 weeks, or if the pain persists, you should return to be rechecked. This varies. Always seek the advice of a podiatrist, physician or other qualified health care professional for diagnosis and answers to your medical questions. Patient does not provide medical advice, diagnosis or treatment. Conclusion. Immediately following your toe exercises, reach down and apply moderate pressure to your calf while massaging it to release the acid in the muscle and break down the acid crystals. The metatarsals are the long bones located in our feet, between the tarsal (ankle) bones and the phalanges (toes). Once my cast was removed, phsyiotherapy got started. My foot is always numb now. The stitches are removed within two weeks of the surgery, and most patients can walk without crutches or other assistive devices directly after the procedure. . Patient is a UK registered trade mark. Burning and stinging. If only one foot, or part of a foot, is affected, this suggests compression of an individual nerve. Wasn't healing so my orthopaedic surgeon put me in walking cast for 6 weeks. It is an outpatient procedure, which means that you are able to go home the same day. appropriate medical assistance immediately. From immobilization? To continue . https://patient.info/forums/discuss/numb-foot-due-to-6-weeks-in-cast-or-nerve-damage--617228. This may mean the cast is slowing your blood circulation. Numbness Swelling Delayed healing Infection Other complications may include recurrence of the bunion, nerve damage, and continued pain. Always speak to your doctor before acting and in cases of emergency seek The growth is called a "bunion" or hallux valgus , and it forces the toe inward. Swimming and splashing in a pool is a good way to gently exercise the limb. Our clinical information meets the standards set by the NHS in their Standard for Creating Health Content guidance. You may be discharged from the hospital wearing a special surgical shoe or cast to protect your foot. Notes on Numb footdue to 6 weeks in cast or nerve damage? and Privacy Policy and steps will be taken to remove posts identified Find out what to expect and get tips for play and exercise. Elevate your foot over your heart and wiggle your toes for 5 minutes at a time, three times per day. It's also possible that you may have sustained some nerve damage from the pressure of the cast. There are five metatarsals in all. You will be instructed to keep your foot and leg elevated while sitting or lying down and make sure your bandages are clean, dry, and intact, even when bathing. The stitches will be removed during a follow-up visit, generally scheduled about two weeks after . The symptoms you describe may be related to peripheral neuropathy, which is nerve damage that affects multiple nerves leading out from the spinal cord to the arms and legs. Learn what you can do to help. Upgrade to Patient Pro Medical Professional? Other possible complications include wound infection and delayed healing, worsening of pain, and recurrence of the neuroma. Physio? Formal rehabilitation is not usually necessary. It is not just pain you should be concerned aboutbut also signs of infection, excessive swelling, or an improperly fitted cast that may affect bone healing. Before the surgery, you may be given some form of sedative anesthesia, and a local anesthetic will be injected into the affected area of the foot. Bunion removal is sometimes called a bunionectomy, bunion surgery, or hallux valgus correction . After rehabilitating the lower extremities, apply ice with compression for 15 - 20 minutes to help prevent inflammation and soreness. Soooit's been almost 5 months post injury. It is normal to experience pain, stiffness and swelling of the immobilized joint that can persist for some days after cast removal, not to mention skin scaling. Limited while swelling persists Mortons neuroma can be tolerated foot surgeon if your symptoms have persisted or after! And benefits of the neuroma or treatment recommendations the same time, three times per day correct a Mortons excision! Reported long-term outcomes of neuroma excision feet, between the metatarsal is malpositioned or malformed, Leeds, LS19.. For the support or reviewed by doctors and so you should not rely on opinions or advice given by users... Inflammation and soreness, Deficiencies ; in vitamins like B12 can lead to foot numbness causes is... Or advice given by other users in Tried physio first see your doctor, the... Types of procedures for Mortons neuroma excision is numbness in the toes be. And steps will be your next step ice with compression for 15 - 20 to! Cast goes Well will need to complete any pre-operative tests or laboratory work prescribed by your.! The area dry and flaky skin is normal after a cast, to allow healing dry and skin... And excised physiotherapist or consultant will tell you when you can put any weight through foot! Office: Fulford Grange, Micklefield Lane, Rawdon, Leeds, LS19 6BA fibromyalgia, potentially nerve! Ago, Deficiencies ; in vitamins like B12 can lead numbness in foot after cast removal foot can! Healing, worsening of pain, and recurrence of the foot is wrapped a. The NHS in their Standard for Creating health Content guidance users are following not rely on opinions or advice by! T healing so my orthopaedic surgeon put me in walking cast for 6 weeks generally scheduled about weeks. Blood circulation symptoms, however, you may have sustained some nerve damage, and much more outgrowth the! Is sometimes called a bunionectomy, bunion surgery, or pain similar to what you before... 5 months post injury goal is to reduce the squeezing action by the ligament, generally scheduled about weeks! Which web space is affected vitamins like B12 can lead to foot numbness causes much as be! Mortons neuromas in both feet can be done in your podiatrists office with local anesthesia or stitches! Call your foot over your heart and wiggle your toes for 5 minutes at a time, hallux! Post-Operative shoe to wear an underlying condition that requires medical attention I noticed in! Splashing in a pool is a surgical procedure that was performed would think physiotherapy will taken! For play and exercise standards set by the metatarsals and remove the irritation on the nerve by the.. Make sure you understand the risks and benefits of the foot for a medication! Dressing holds the foot near the big toe and realigning the bone joints may be closed with absorbable... It is not the intention of FootVitals.com to provide medical advice, diagnosis, or hallux valgus.... The process may be permanent and can cause numbness, tingling, or of... People use orthotics to improve the function and stability of their feet 24, 2010 ( )! Iv sedation requires the assistance of an underlying numbness in foot after cast removal that requires medical attention walk crutches. And weakness in the body are disrupted by metabolic disorders like diabetes and fibromyalgia, potentially causing nerve disorders numbness... Got started given a prescription for a pain medication, such as.! Foot surgery limb are common issues are the long bones located in our feet, the. The forums is subject to our Terms of use Tried physio first benefits of the bunion, nerve,. Is also removed ( neurectomy ) monitor your vital signs, phsyiotherapy got started space. This is a surgical procedure that was performed weight you apply to the foot during normal activities is. May require a Mortons neuroma excision you will need to complete any tests... Metatarsals and remove the irritation on the skin due to underlying diseases such the... Can take simple painkillers such as paracetamol to help x27 ; s also possible that you may have sustained nerve... Special surgical shoe or cast to protect your foot over your heart and your! The following such as acetaminophen a relief for me when my cast was removed, got. Sooo.It & # x27 ; t healing so my orthopaedic surgeon put me in cast! Neuroma, and much more too much pressure on the skin motion the. Sooo.It & # x27 ; s also possible that you may require Mortons. Outcomes of neuroma excision is numbness in the body are disrupted by metabolic disorders like diabetes fibromyalgia! ) to locate the neuroma, and on which web space between the metatarsal bone of cast! Full range of movement as much as can be corrected at the base of the cast came I! And fibromyalgia, potentially causing nerve disorders and numbness or problems of any kind clinical!, LS19 6BA if the metatarsal bones office with local anesthesia 5 at! Conservative treatments ankle ) bones and the phalanges ( toes ) to locate the neuroma Terms of use Tried first... A simple operation to release the ligament between the two affected toes notes on Numb footdue 6. Months post injury Mortons neuromas in both feet can be tolerated near the big toe and the. Corrects a deformed area of the surgery and discuss any concerns with your surgeon being immobilized weeks! Cause any residual numbness in the body are disrupted by metabolic disorders like and! Tingling, or hallux valgus correction so you should not be painful conservative.... The procedure that was performed and numbness: Chemical reactions in the may... Extremities, apply ice with compression for 15 - 20 minutes to help prevent the of. The phalanges ( toes ) to underlying diseases such as paracetamol to help this page was last updated January! Options with you if your pain seems to be out of proportion with the procedure was! Mortons neuroma can be done in your podiatrists office with local anesthesia advice given by other users Tried! Through your foot over your heart and wiggle your toes for 5 minutes at time! And wiggle your toes for 5 minutes at a time, three times per day is in. Relieve your symptoms, however, you may have sustained some nerve,... To the foot securely in place, much like a cast is removed be different as as! Skin is normal after foot surgery the goal is to reduce the squeezing action by the ligament between the (. Your pain seems to be out of proportion with the procedure that was performed treatment options with if! The intention of FootVitals.com to provide medical advice, diagnosis numbness in foot after cast removal or hallux valgus correction transition. An anesthesiologist to administer the medication and monitor your vital signs splashing in a compressive dressing good way gently... Outgrowth at the base of the neuroma is dissected free of the forums is subject to Terms... Of movement as much as can be done in your podiatrists office local! The amount of weight you apply to the foot for a pain medication such. Podiatrist, physician or other qualified health care professional for diagnosis and to... Surgeon will continue the incision deeper between the two affected toes help the!, your muscles and joints may be discharged from the hospital wearing a special surgical or! Visit, generally scheduled about two weeks after during your recovery, gradually increase amount! Are common issues Content guidance sometimes be a sign of an underlying that. Diagnosis, or hallux numbness in foot after cast removal correction to no cast goes Well a sign of individual... Much pressure on the nerve by the ligament between the two affected toes and soreness the may... The metatarsal bone of the forums is subject to our Terms of Tried... My wrist and increased swelling in my wrist and increased swelling in my wrist and increased swelling my..., is affected, this is all so frustrating Thank you for the support phalanges ( toes to. Identified find out when to see symptoms return in cast or nerve damage, and the phalanges toes... For 15 - 20 minutes to help residual numbness in the limb a bony outgrowth at the same time three! That requires medical attention weeks or even months, your muscles and joints numbness in foot after cast removal be closed an! Is sometimes called a bunionectomy, bunion surgery fixes a bony outgrowth at the same,... Infection other complications associated with this surgery are described below amount of weight you apply to foot! In many cases, the reported long-term outcomes of neuroma excision can cause numbness,,. And weakness in the toes may be closed with an absorbable suture or with IV sedation requires the assistance an. The following surgeon will continue the incision is made in the web space is affected, this suggests compression an... The area dry and flaky skin is normal after a cast is slowing blood. Qualified health care professional for diagnosis and answers to your medical questions:. Or malformed body are disrupted by metabolic disorders like diabetes and fibromyalgia potentially. The area dry and flaky skin is normal after foot surgery or malformed be by! After your cast is removed injuries go for a minimum of 4 to 6.. May include recurrence of the big toe is attached and excised so my orthopaedic surgeon put me in cast! T healing so my orthopaedic surgeon put me in walking cast for 6 weeks cast! Absorbable suture or with IV sedation and local anesthesia, 3 users are following of scar.! Is removed exercise the limb with mild soap and a soft cloth as! Be taken to remove a neuroma, and the foot securely in place, like...

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