Does surgery stop the movement that causes the neuromas?
Surgical resection of the neuroma may produce some value on a temporary basis. In the long run, the residual scaring from the procedure may actually aggravate the problem. Certainly, the surgery does nothing to prevent occurrence of another neuroma in any one of three other interspaces. Even if the surgery were without complication and successfully excised the neuroma, it is not uncommon for a patient to develop neuromas in two or more interspaces. It is important to note that all nerve surgery, especially when performed on a weight bearing structure, is unpredictable and often complicated as it heals. The frequent presentation of this disabling problem in two or more interspaces virtually limits any long term benefits associated with surgical intervention alone. Unless the patient significantly decreases weight bearing activity, surgery does not stop the grinding movement on the nerves caused by pronation of the foot. The same problem in adjacent interspaces or on the other foot is ve