8 Reasons to Choose Cryosurgery to Cure your Morton’s Neuroma

 


 

1. It Works.

Cryosurgery for Morton's Neuroma has an excellent success rate from just one treatment. 

 


 

2. It’s very safe.

Cryosurgery has better success rates and outcomes than neurectomy surgery.  Unlike neurectomy surgery, cryosurgery poses no risk of stump neuroma because there is no cutting of the nerves in the foot.

 


 

3. Minimal Downtime

You can be back to work and driving after a long weekend.

 


 

4. Cost effective.

Most patients spend thousands on shoes and other less effective treatments. Cryosurgery is also the cheaper option in comparison to private neuroma excision surgery.

 


 

5. Time effective.

Many suffers can spend years suffering with Morton's Neuroma. With Cryosurgery, will see their full results in as little as 12 weeks.

 


 

6. Long Term Results.

For most patients, the results are permanent. Our thorough consultation process is also designed to highlight any common risk factors the patient may be exposed to (such as foot-type, hyper mobility etc), and we work with you to put future preventative measures in place.

 


 

7. Single Treatment.

Cryosurgery is carried out in just 1 short treatment. So you don't have to commit to a course of treatments and multiple trips to the clinic.

 


 

8. Affordable for every budget.

We offer 0% Interest free credit, and a variety of finance options to suit your circumstances and your budget.

 


 

Our Story & Our Ethos

Our Story So Far | 1999 - 2019 | 20 Years of Excellence


Since 1999, Mr Weaver was has taken a keen interest in diagnostic medical ultrasound. This interest was sparked by a realisation that Ultrasound imaging could really remove a lot of the guesswork involved in assessing and treating common podiatric conditions, such as Morton’s neuroma. Mr Weaver realised from the moment he saw ultrasound imaging being used first-hand, that it had the potential to really improve and unlock better treatment outcomes for patients.

At that time in the UK, training in Ultrasound imaging for Podiatrists was pretty much non-existent. Furthermore, organising ultrasound scans to assess and plan treatment for conditions like Morton’s neuroma or bursitis was a painfully slow business, that was sometimes limited by the lack of detailed knowledge of the person performing the scan of what was going on with the patient. Mr Weaver really wanted to overcome these issues by being able to scan his own patients, rather than relying on third parties who don’t know the patient as well as he did.

With a lack of UK based Podiatry specific training, Mr Weaver embarked on Ultrasound training in the U.S.

It was at this time that Mr Weaver completed training in ultrasound-guided injection techniques, including cryosurgery for the treatment of Musculo-skeletal conditions, such as Morton’s neuroma.

Mr Weaver has also successfully completed a UK based Master’s degree in Medical Ultrasound, obtaining the highest possible award of distinction. Since introducing cryosurgery for Morton’s neuroma to the UK, Mr Weaver has continued to strongly advocate its use and has lectured and taught workshops in various settings.

Mr Weaver now regards the information obtained from ultrasound scanning a patient as invaluable. Mr Weaver is better now than ever, able to offer treatment programs that are tailored and individual to each patient’s unique needs and requirements, such complex assessments often involve performing scans immediately after activities like hiking or running that bring the patients symptoms on. This extra layer of attention to detail is often what makes the difference in patients obtaining the outcome they are looking for.

Moving into the future, Mr Weaver has continued to pioneer the treatment of Morton’s neuroma and has become the first Podiatrist in the UK to use a new form of ultrasound imaging called elastography. Elastography is used elsewhere in medicine to map the density of tissue. Morton’s neuroma tissue has been shown to have greater stiffness when compared to surrounding healthy nerves. As such the use of elastography allows Mr Weaver to see a new dimension of the neuroma that has been unavailable, enabling him to address areas of the neuroma that might have previously been missed. This greater appreciation allows for a more tailored cryosurgery treatment.


 

Our Ethos


There is no such thing as an average patient. We don’t do average, only excellent.

We place a large amount of emphasis treating you as an individual and making your Morton’s recovery journey as quick and as smooth possible. To us, you are foremost, a person and not just another number.


 

A little bit more about Robin

When not treating patients in clinic, Robin enjoys spending time with his wife, Claire, a former dance and fitness teacher and his young son, Monty. He is a keen skier, plays club level tennis and enjoys hiking & mountain biking in the Peak District. He also likes a wide range of music, particularly house music.

 


 

Can Morton’s Neuroma ever be cured?

The short answer is yes, with Cryosurgery. And here's why...

Broadly speaking, there are two routes that you can take when it comes to treating a Morton's Neuroma. Those 2 routes are:

Management of the Morton's Neuroma


 

  • Orthotics - Most orthotics issue is that they work best in enclosed winter footwear and unless you have very specialist low profile dress orthotic they don’t work in open summer footwear. This means that every summer the neuroma tends to enlarge little by little, to the point that orthotics will eventually stop working. 
  • Footwear Modification - Choosing 'Zero-Degree Heel' Footwear, such as the Altra Zero-Drop range of footwear, Hocker, or Birkenstocks can be beneficial for Morton's neuroma sufferers due to the reduction of the forces on forefoot caused by the heel of the foot being higher than the toes. You can read about our footwear advice here
  • Lifestyle Modification - includes a reduction of your normal day-to-day activities, such as driving to the shops rather than walking or avoiding events or parties at which you will likely be stood for a long length of time
  • Reducing or Ceasing Sport of Activity - Reducing or omitting your favourite sport or activity can reduce irritation of the Morton's Neuroma by limiting the activity you are carrying out, and reducing time spent on your feet. For so many patients, this simply isn't an option, due to the enjoyment they feel when engaging in their chosen sport or exercise. 
  • Wearing metatarsal domes or pads.

All of these options generally help to alleviate the symptoms of the neuroma, but the neuroma is always there in the background. Your neuroma will soon start to throb if you even look at high-heeled shoe, let alone wear one! And then, there are lot of practical problems with management options.

Interventional Treatment for Morton's Neuroma


 

  • Steroid injections are anti-inflammatories and cause atrophy (shrinkage of tissue). Many experts think it is the atrophy, both of the swollen nerve tissue and the tissue surrounding the nerve that helps relieve the neuroma pain. The ‘atrophy effect’ causes shrinkage of the tiny lumbrical muscles (that allow you to curl your toes) that surround the nerve. As the lumbrical muscles shrink due to the steroid, the neuroma is temporarily decompressed giving relief. However, after 3-4 months the lumbrical muscles recover and regain their bulk and the nerve is again compressed. Leaving you back where you began. In our experience steroid injections don’t seem to offer a long-term solution or cure for Morton’s neuroma.
  • Alcohol injections generally provide terrible outcomes, and can often make matters a lot worse.
  • Decompression surgery doesn’t cure a neuroma, it is simply an attempt to make room for the nerve, by cutting the transverse ligament (an important structure that stabilises the forefoot). The main issues with decompression are the risk of accidental injury to the nerve during the decompression surgery, and the amount of scar tissue that can form in the ligament and around the nerve after the decompression. Even when the symptoms are alleviated by decompression, the enlarged nerve (often measuring around a centimetre in diameter - normal diameter 2-3mm) will still be present in the forefoot and will often require a degree of ‘management’.
  • Excision surgery  - There is a little-known fact that every single person who has a neurectomy will develop a stump neuroma, because fusiform stump formation is the body’s normal physiological response of the body after a nerve has been cut.  Only a relatively small number of patients (around 35%) ever report being totally pain free after excision surgery and many are made a lot worse. Can excision surgery be a cure for Morton’s suffers? If a cure is based on having no symptoms then possibly, for some patients. If a cure is based on having a normal nerve in the foot, then no.

Cryosurgery for Morton's Neuroma

Cryosurgery does not kill or permanently destroy the nerve. The freezing of the nerve triggers a breakdown of the scar tissue that caused the nerve to be enlarged. Typically, after 16 weeks the nerve has totally recovered and reduced from 1cm in diameter to measuring a healthy 2-3mm again. Cryosurgery is the only intervention at this moment in time that leaves no trace behind. If you scan the foot of a patient that has had cryosurgery all that will be seen is a normal forefoot. On the other hand, if you scan patients that have had the other interventions listed above you can generally see varying degrees of scar tissue and damage.

Cryosurgery has been performed since 1960's on nerves, and it is regularly carried out on various part of the body to provide pain relief. It's been proven that freezing nerves causes no damage at all, and if anything, it actually has a rejuvenating effect. One of the features of Morton's neuroma, is the development of abnormal blood vessels around the nerve sheath. This is a process called angiogenesis. Angiogenesis helps drive the inflammation process. Cryosurgery has been shown to reverse angiogenesis. 

Being the first person in the UK to offer cryosurgery and having performed well over 3000 cases over the last 12 years, I now regard cryosurgery as the ‘Gold Standard’ for the treatment and cure of Morton’s neuroma.

If you are fed up of managing your neuroma and you are ready to choose an intervention, choose the right one, choose cryosurgery.

Get your foot and your life back. And let us help you.

Contact Us

Morton's neuroma advice for cyclists

Morton’s Neuroma Shoes – The Good, The Bad & The Terrible

 

 

 

 

 

Altra Zero-Drop Trainers can improve Morton's neuroma symptoms.

 

 

 

 

 

 

 

 

Avoid wearing thin soles flip-flops with Morton's neuroma

 

 

 

High Heels Morton's Neuroma

The Good

Zero degree shoes, such as the footwear brand 'Altra' are an excellent choice of shoe, especially if you are a runner suffering with a Morton’s neuroma.  Most running shoes lift the heel of the foot around 1-2 cm higher than the forefoot. The lift of the heel increases the forces on the forefoot that cause Morton’s neuroma by 3-4 times.

Running shoes such as Altra and Hocka have a ‘Zero drop’ or 'Zero-Degree Heel'. This means that the heel of the foot and the toes are literally on the same level. Zero-Drop shoes are beneficial for Morton's neuroma sufferers due to the reduction of the forces on forefoot caused by the heel of the foot being higher than the toes.

Shoes with a positive heel raise the heel above the forefoot and push the pad of fat tissue that protects the metatarsal heads and inter-metatarsal nerves forwards. This exposes the nerves to increased compressional forces making Morton’s neuroma more likely.

 

 

The Bad

If you are on a rocky beach this summer think twice about wearing flip flops.

Thin flip flops are often 'Zero-Drop', which as we know is beneficial for Morton's neuroma. However, the toe-post that slots between your toes can compress the 2nd and 3rd metatarsal together, making developing Morton’s neuroma in this region more likely.  Thin-soled flip flops also offer little protection from protruding objects underfoot, such as rocks and stones.

Try to remember, the nerves in the forefoot are actually very close to the ground. Sometimes the nerves in the forefoot can be injured by walking on sharp rocks or stones, and such injuries can progress in to Morton’s neuroma.

 

 

The Terrible!

Studies that measure peak pressures in the feet (plantar pressures) show that, in a flat shoe only 28% of the body’s weight runs through mid-foot region (where Morton’s neuroma form). However, this increases to a staggering 66% of body weight in a high heel.

Not only do the high heels increase plantar pressures they also are tight in the toe box, crushing the contents of your midfoot together, this crushing action is also responsible for Morton’s neuroma formation.

High heels can cause changes to the feet that can trigger Morton’s neuroma even when you aren’t wearing them. This is because regular use of high heels causes a shortening of your Achilles tendon and overtime time can alter the position of your lumbar spine (lumbar lordosis). Unfortunately, both of these issues also increase forefoot plantar pressures and can aggravate Morton’s neuroma.

Mortons Neuroma Festive Period Appointments

Festive Period Appointments

The Most Wonderful Time Of The Year… To Have Cryosurgery!

 

A lot of our patients find that Christmas and New Year is the ideal time to come for clinic for treatment. It’s a wonderful time to visit out London Clinic, and our Sheffield Clinic is very close to one of the UK’s best shopping Centre’s, Meadowhall. We have appointments available around the festive period, so it’s never been a better time to make use of your annual leave!

London Appointments:

Friday 8th December (~Fully Booked)

Sheffield Appointments:

Friday 1st December (Fully Booked)

Wednesday 6th December (Fully Booked)
Thursday 7th December  (Fully Booked)

Wednesday 13th December (Very Limited – 1 Appointment remaining)
Thursday 14th December (Fully Booked)
Friday 15th December (Fully Booked)

Wednesday 20th December (Fully Booked)
Thursday 21st December
Friday 22nd December (Limited Availability)

Mortons Neuroma International Patients

International Patients

The closest… or the best?

Map of The Barn Clinic - Cryosurgery Patients

We see patients from all corners of the globe, including:

  • Republic of Ireland
  • United States of America (CA, MN, NY, FL)
  • Canada
  • France
  • Spain
  • Germany
  • Belgium
  • Netherlands
  • Denmark
  • Switzerland
  • Finland
  • Sweden
  • Greece
  • Cyprus
  • Hungary
  • Latvia
  • Turkey
  • South Africa
  • Uganda
  • United Arab Emirates
  • China
  • Malaysia
  • Thailand
  • Australia (NSW, V, WA)

We are happy to assist with travel arrangements, hotel bookings, travel advice and medical terminology specific translators for your appointments.

All of our FAQ’s have been translated into our other languages, so you can get the information you need!

Christmas Availability Mortons Neuroma

Christmas Availabilty

Christmas is fast approaching, and for a lot of people, it’s a great time to relax and recharge! Many people take advantage of this break from work to arrange their Cryosurgery and allow for extra recovery time.

If this is something that you feel work  well for you, please see our availability below. (We will be updating this information daily – please book early to avoid disappointment)

Our remaining December availability is as follows:

  • Tuesday 20th December (FULLY BOOKED) – SHEFFIELD
  • Wednesday 21st December (FULLY BOOKED) – SHEFFIELD
  • Thursday 22nd December (Limited) – SHEFFIELD
Our clinic shutdown period is from the 23rd December – 3rd January. Appointments in the new year will commence from Tuesday 3rd January.
Merry Christmas, and Happy New Year from the entire Barn Clinic team.

 

Mortons Neuroma Footpain

Morton’s Neuroma and Other Causes of Cycling Foot Pain

With the rise in popularity of cycling since the success of British riders in the Tour de France and Rio Olympics, the number of cycling related forefoot problems we’ve seen at The Barn Clinic has increased.

This is no great surprising considering cycling requires the transfer of power from the legs in a ‘piston like’ motion through the pedals. The resultant compressional forces can detrimentally affect the delicate nerves in the forefoot resulting in burning, tingling and numbness in the forefoot.

Read More

Mortons Neuroma Tennis Pain

Don’t Let Morton’s Neuroma Ruin Your Tennis Season!

It’s that time of year again when Wimbledon takes over and the UK catches a case of the annual tennis bug.

Wimbledon finalist Milos Raonic has famously been suffering with Morton’s neuroma, so we think a huge ‘congratulations’ is in order for him overcoming his neuroma, and bagging second place at Wimbledon.

But what if you’ve not been as lucky as Mr. Raonic, and your Morton’s neuroma is holding you back from getting back onto the courts? Well, at The Barn Clinic we know tennis (and we LOVE tennis). Having treated a Wimbledon Men’s Champion, we like to think we’re pretty knowledgeable about the unique strains and requirements that tennis places on our feet.

Of course everyone’s heard of tennis elbow, but you might be surprised to learn that the most common tennis injuries are related to the foot and ankle.

Here are our top tips for managing that Morton’s neuroma pain and keeping your feet comfortable during tennis season.

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