Every now and then, typically while on trail runs on slickrock or really rocky trails, the neuroma would flare up and I'd be forced to stop every few miles, take my shoe off and massage my foot and toes for about five minutes at a time to get feeling back in my toes and clear the pain for bit. It worked but was annoying to have to stop frequently to take care of the issue. Then, while running the Mogollon Monster 100 mile race (MOG100) in September 2015, the pain came on around mile 14 making for a VERY long 100 mile race with frequent shoe changes (that didn't really help) and many stops to massage my foot. My guess is because the MOG100 course is so rocky, the rocks beat my feet up quite a bit. That was the final straw...I had to figure out what was going on.
A few weeks later I went to see a local podiatrist, Dr. Sauer, that had surgically shortened a toe on the same foot way back in April 2004. By the time I went into see Dr. Sauer, I had self-diagnosed myself with Morton's Neuroma after my friend Andy had suggested that may be what I had. Dr. Sauer was quick to come to the same conclusion and had me try three cortisone shots over about six weeks. The shots didn't really bring any serious relief and I was fed up with the pain so I opted for surgery.
On Friday morning, the surgery went very well and took about an hour. The neuroma was "quite sizable". The surgery took place in the morning and I was out of the hospital by noon and back home on the couch for the rest of the day. I kept my foot elevated and enjoyed some solid couch time.
|Foot in boot with suction drain (two hours post-op)|
|About to remove the drain tube 72 hours post-op|
|Four days post-op|
|Five days post-op|
|Easy toproping with mis-matched shoes one week post-op|
|Seven days post-op (first shower)|
|Nine days post-op|
Ten days post-op I went rock climbing again, using bigger, more comfortable climbing shoes and this felt very reasonable. I was able to lead climb and not worry about my foot much. In fact, I think climbing is good therapy because the weight is mostly on my big toe and each step is very calculated.
Eleven days post-op I did a short run of about a half mile en route to the gym to do some spinning on a stationary bike. I did the spinning with the pedal placed in the arch of my foot to avoid putting too much pressure on the ball of my foot. It felt great to work up a sweat again!
The Plot Thickens - Two Weeks Post-opRight at two weeks post-op my right ankle started feeling super painful and was swollen a good bit. It was bad enough I couldn't walk stairs normally at all and had to limp around everywhere. I saw another local foot/ankle doctor and we came to the conclusion that I had incurred a small bit of Achilles tedonitis most likely from wearing zero drop shoes while modifying my gait to avoid putting pressure on the surgical area. I moved out of the zero drop shoes into more normal shoes and forced myself to walk normally as much as possible in addition to doing some PT exercises to stretch and work the tendons in my ankle. I found good relief in the ankle about three weeks post-op and neared about 80 percent normal feeling in my ankle (it hurt a bit still on deep steps down, etc.)
Well, four weeks post I decided to try a short run to see how it felt. My short run turned into about four miles because it felt pretty good. Unfortunately, a day after that run my forefoot was swollen, painful and, apparently, infected. I'm not sure the running had anything to do with the infection but the timing seems awfully coincidental. Also, though, I'm sure I had gotten the incision site dirty a couple weeks post-op by wearing sandals so the combo of all of this sure spells disaster.
So after a week or so of walking quite normally without pain, I'm back to swollen foot with pain and limping around. I'm doing a few epsom salt bath soaks on my foot daily and started on antibiotics (Cephalexin) yesterday to help clear the infection. Lesson learned: Even though my foot was feeling quite good, four weeks post-op isn't enough recovery time for me to start running again. Also, I should have been better about keeping the incision clean. Drats.