Endoscopic decompression of the inter-metatarsal nerve is a surgical technique developed by Dr. Barrett in 1994 to decompress the intermetarsal nerve in a less traumatic matter.

This technique allows for a quicker recovery and a faster return to normal activity than traditional surgical techniques. Specially designed instrumentation is utilized that allows the surgeon to directly visualize the foot structures on a video screen through two small, less than 1/4 inch incisions on the foot. The procedure is performed in an outpatient setting. Most patients can bear weight immediately after surgery and return to tennis shoes the day after surgery.

What is Morton’s Neuroma?

A “Morton’s neuroma” is an entrapment of a small nerve in the foot. Symptoms may include pain, numbness, and/or burning sensations in the ball of the foot which may radiate out into the toes or up the leg. Pain occurs while standing or walking and can range from mild to severe.

What causes Morton’s Neuroma?

It is usually related to instability in the mechanical function of the foot. This instability results in the nerve being compressed against or pulled across a rigid, unyielding ligament called the transverse inter-metatarsal ligament (TIML). It is this repetitive microtrauma to the nerve that causes it to become inflamed and eventually entrapped in scar tissue. If allowed to persist over long periods of time, this process and its resulting symptoms may become irreversible causing considerable disability.

Treatments for Morton’s Neuroma

Once the symptoms are recognized, proper medical care should be obtained as soon as possible to minimize the possibility of permanent nerve damage. If surgery (decompression) has been determined to be necessary, this potentially debilitating condition requires the skills of a specialized practitioner to properly diagnose, counsel, and successfully treat the patient in order to restore normal foot function. The goal of treatment is to allow the individual to maintain or return to a normal lifestyle. This condition is best treated by peripheral nerve decompression, and a minimally invasive endoscopic technique is available called the endoscopic decompression of inter-metatarsal nerve (EDIN).

Download our free resource on Morton’s Neuroma

The truth about Morton’s Neuroma and what is the best treatment. Facts and guidelines for the patient who suffers from this condition.