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[ELM]

I have never had a Mortons neuroma. For a neuroma I would expect to see changes in 4-5 treatments. I have had extensive PT for shoulder and elbow issues. I put off surgery on my elbow for 10 years. PT did help but the pain and loss of mobility is what eventally led me to surgery. Post op I really saw a change after the first few PT treatments. My pain has been gone since and that changed everything. I would not be climbing if I had not gotten it operated on. My shoulder is another issue. I really have to do lifetime work with it to keep up my ability and prevent dislocations. Surgery could improve the stability but I would be risking losing range and flexability. With PT I can climb with it. If I worked on it more I could climb harder too.

[lucky luke]

Thank you Ed, I see the ortho guy this week, and we'll see what he suggests.. How long did PT take for your condition to resolve.?

I have a Morton's Neuroma for three years by now. It is very painfull. I am going to the doctor 10 april and will have the operation. I had carpal tunnel too. When the nerve is too thick, there is nothing you can do, except to cut and remove the bad part. Expect a lost of sensibility in the small toes. don't wait too much it is very hard to sustain particularly when you are in the cliff.

[Admin Al]

let's try to keep postings at least SOMEWHAT on topic folks...

[pennimelody]

Getting 2nd or 3rd opinions is great advise. After going to a podiatrist(not the best choice to start with), and two cortisone injections after I went to a Physical Therapist  and Orthopedist. The diagnosis is not a Nueroma, (both PT and Ortho Dr. concurred),but a structural problem requiring metetarsil orthodics.  I did not have to go through an MRI. I also would caution getting injections until you know clearly that it is undeniably a Mortons Neuroma.   I went to an orthopedic Dr. who specializes in foot and ankle conditions, along with a good PT who knows her anatomy.  The long and the short is to make sure you seek proper medical care to know what the foot conditions is. Climbing shoes are not forgiving foot wear, and consequently, when problems feet arise, you have to take care of them if you want to continue climbing.

[sneoh]

So, good news and no surgery then.  Congrats.
Definitely get 2nd or 3rd opinion especially if surgery is unavoidable.  I am glad I did for my wrist surgery.  First doctor recommended a procedure that would likely have resulted in a significant reduction of my climbing ability.  The second recommended (and I accepted) a much less intrusive but cutting edge procedure, for 1997.  I am grateful 16 years hence; I am still climbing within one or two letter grades of my my personal best before my injury and surgery.  Certain types of hand moves are a lot harder because of reduced range of motion but I am learned to adapt and work around the loss of wrist flexibility.

[ELM]

It's good to hear you got a better diagnosis. Gotta take care for your feet! 

[Admin Al]

good good GOOD news Penny!

Getting 2nd or 3rd opinions is great advise. After going to a podiatrist(not the best choice to start with), and two cortisone injections after I went to a Physical Therapist  and Orthopedist. The diagnosis is not a Nueroma, (both PT and Ortho Dr. concurred),but a structural problem requiring metetarsil orthodics.  I did not have to go through an MRI. I also would caution getting injections until you know clearly that it is undeniably a Mortons Neuroma.   I went to an orthopedic Dr. who specializes in foot and ankle conditions, along with a good PT who knows her anatomy.  The long and the short is to make sure you seek proper medical care to know what the foot conditions is. Climbing shoes are not forgiving foot wear, and consequently, when problems feet arise, you have to take care of them if you want to continue climbing.

[pennimelody]

Thank you Al:)

[lucky luke]

Getting 2nd or 3rd opinions is great advise. After going to a podiatrist(not the best choice to start with), and two cortisone injections after I went to a Physical Therapist  and Orthopedist. The diagnosis is not a Nueroma, (both PT and Ortho Dr. concurred),but a structural problem requiring metetarsil orthodics.

Going to the doctor the 10 april....not sure if I want an other diagnostic than a morton neuroma as the operation is easy and final. I hope that you have a definitive solution for your feet and don't have to buy/pay for treatment for some other years, to have the operation many buck in other pocket than yours. For me, it is not structural bones for the moment. I had pain in my right foot as I climbed children crusade and can barely do the move...leading.
Metetarsil is the name of the bone and the nerve is going a long that bone. if you change how the friction occur, you will feel better...for a while and you will have other problem. Ask your doctor if it is a friction of the metetarsil to the nerve, which increase in size and make an obstruction or if it is a tendon on the metetarsil who create the pain. I read, no experiences, that the nerve can regress to a normal size after a while.
In my case, the pain is often associate with the presence of cigarette smoke. When someone smoke around, three or four hours later I have a pain in my right feet. I don't know exactly what it is. My allergy can attack the nerve is my explication. 

[lucky luke]

Going to the doctor the 10 april....not sure if I want an other diagnostic than a morton neuroma as the operation is easy and final.

went to the doctor yesterday: diagnostic is a morton neuroma, she heard the caracteristic "click" and will go for emr. It is free here in quebec or 500$ in private clinic.

Treatment is: metatarsil pad first....
if it's not working, injection
if it is not working, operation... in about a year still.

As a climber, pad didn't work in our shoes. So, I just hope that the thickness of the nerves was cause by and other situation than climbing, which is the case as I can climb for days without pain. If you take a close look of the problem, it is a thickness of the myeline sheat. Nothing to do with the tendon, so it can't come back. Nothing attack the sheat of the nerves, except some disease very awfull.

(http://www.google.ca/imgres?imgurl=http://img.tfd.com/MosbyMD/thumb/myelin_sheath.jpg&imgrefurl=http://medical-dictionary.thefreedictionary.com/myelin%2Bsheath&h=144&w=250&sz=8&tbnid=Oyh-9EZKGgwYmM:&tbnh=67&tbnw=117&prev=/search%3Fq%3Dmyelin%2Bsheath%26tbm%3Disch%26tbo%3Du&zoom=1&q=myelin+sheath&usg=__GKevEwAXXcBIdKpr7r6WZDJWT3A=&docid=XmavMomPNPZNLM&hl=en&sa=X&ei=iz1oUdrZBIe64AOctIDIBw&sqi=2&ved=0CEoQ9QEwBA&dur=906)