Revision Intermetatarsal Neurectomy

Interdigital neuromas are a common cause of forefoot pain. Recurrent or persistent symptoms are common after primary excision and may lead to significant impairment. Failure of initial excision may result from incorrect diagnosis, inadequate excision, or formation of a stump neuroma. History and physical examination are the mainstays of diagnosis. While conservative treatment usually is warranted, there is a high failure rate. Results of revision intermetatarsal neurectomy are satisfactory, but managing patient (and surgeon) expectations is essential.