SEARCH KNOWLEDGE BASE: 10.000 Q&A

Vascillating

This is Jack. I’m the guy who decided to go with the morton’s neuroma diagnosis. Two podiatrists in the Twin Cities stated that I had the classic sign’s of neuroma. Taking off the shoes and massaging my feet made them feel better, and scrunching my toes made them feel better. Both podiatrists said that the massaging and scrunching were classic for morton’s neuroma. I had an MRI that said I have a 5mm neuroma between my second and third toe of my right foot, and a 3mm one between my third and fourth toe of the left foot. My problem is….
I’ve had four alcohol injections (sclerosing), and I still have the crumpled sock feeling under my feet. Obviously, I’m concerned that I go ahead and permanently damage these two nerves, only to discover it was PN all along. None of my tests reflect PN. My skin biopsy was normal, but the neurologist stated I had small-fiber neuropathy. As a 56 year old man going through all the battery of tests, I did come up with a paraprotein of .2 IgG. Monoclonal Gammopathy of Unknow Significance. I’ve head of many people with this disorder having PN. The oncologist said it was a freckle, and that at my age it really isn’t that big a deal. I feel so much like a ping pong ball being batted back and forth. I couldn’t get a podiatrist I was taking to online to give me an exact diagnosis of my situation. I have zero pain on the top’s of my toes and feet. I only have the crumpled sock feeling under my toes and it doesn’t affect all of my toes. I just don’t know if I should keep up the injections, or get the neurectomy and have permanent numbness and still possibly have PN. Any ideas would be appreciated. Thank you….jack


1 Comment found

    Vivian Abrams DPM

    9 10

    Sometimes when I am not quite sure if the neuroma is in the 2nd or 3rd interspace, I will do a diagnostic injection with a small amount of local anesthetic. The I have the patient walk or try to recreate their pain. If it is gone, then I know where the neuroma is.As far as peripheral neuropathy goes, I have seen it in spotty area, I have seen it on the top and bottom of the feet, and I have seen it on one side or the other. The sclerosing which it is stated in the literature that it is quite successful, can vary from doctor to doctor.

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