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The response to the question below was authored by Marc Mitnick DPM
most annoying, aggravating nerve pulling/tightness numbness sensation of 2nd toe status post 2nd toe osteotomy and neuromal removal
by lisa
(north richland hills, tx )
I have an aggravating, annoying pulling-like nerve sensation and numbness 24/7 of my 2nd toe after having a redo bunion surgery by another podiatrist and with the 2nd surgery had a 2nd toe osteotomy to shorten it and a neuroma cut out for the 2nd toe being affected( a top approach was done) and had 2nd hammer toe corrected; a SMART clip was used for 2nd toe; with flexion or extention this weird nerve sensation increases but is still present at rest; feels like a bunch of nerves are trapped and need released to decrease a tightness feeling of the 2nd toe;feels like superglue is wrapped around my 2nd toe or a tight string wrapped around it; looks and feels like the web between the 2nd and 3rd toe is closer together since the surgery ;it almost seems like if the web was sliced I could get a little relief; the ball of foot is a nervy wierd sensation when massaged and when massaged with lotion the ball of foot feels like there are several tiny ropes lined up one right under the other; I wonder if nerves got trapped in scar tissue or what; in addition to these abnormal nerve sensations my 2nd toe for 2 months after surgery was so much bigger diameter wise until I went to a 2nd opinion podiatrist ; he did cortizone injections, a script for a 5 compound drug in a cream to rub into toe, celebrex, conforming tape to wrap the 2nd toe; I feel the tape shrunk the toe a lot; the cream is a 20% temporary fix, celebrex stopped after 12 days; tore my stomach up; I
RESPONSE
Hi Lisa,
Well it certainly sounds like you have nerve pain and the most likely cause would be an incomplete excision of the neuroma if you actually had one in the first place.
It is now three months since your surgery and if your symptoms are still as intense as lets say six weeks ago then that would indicate a problem to me.
i cannot really give you much more information because I obviously cannot examine you, but what you should consider doing is finding another independent foot specialist to examine you. An MRI might also be helpful to get a better idea of what is actually going on.
If your pain continues to the extent you state something will have to be done. Surgery is one option but sometime more is less, meaning the more surgery you have in a small area the greater the chance of more problems, simply because there will be further scarring and perhaps other problems. So the risk of additional surgery has to be weighed against the amount of pain you presently have.
In the short term there are other things that can be done, such as injections, oral medication and physical therapy. I would exhaust those options first and if they do not work then you will have to weigh the surgical option.
Marc Mitnick DPM
DISCLAIMER
Comments for most annoying, aggravating nerve pulling/tightness numbness sensation of 2nd toe status post 2nd toe osteotomy and neuromal removal
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ADDITIONAL REFERENCES
University of Rochester Medical Center
American Academy of Pediatrics
Columbia University Department of Rehabilitation
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