speech after speech

Thursday, June 11, 2009

The pain was excruciating and the swolleness gets worse. This seriously causes the untolerable pain whenever I wanna walk. Thus, mum decided to bring me to see the specialist at Raffles Medical Hospital. BUT!! The worse has yet to come.

After the X-Ray was done, good news! The specialist said that the fractured toe was healing well. So, what causes this pain now? After much inspection, the doc then derived that there's another case that's acting up now. It's the "Mortons' Neuromo".

And the specialist gave me some task to do. To do a read up on what's Mortons' Neuromo is. And below, is what I've got basically on the net.
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"Mortons' Neuromo" is an enlarged nerve that usually occurs in the third interspace, which is between the third and fourth toes.


Problems often develop in this area because part of the lateral plantar nerve combines with part of the medial plantar nerve here. When the two nerves combine, they are typically larger in diameter than those going to the other toes. Also, the nerve lies in subcutaneous tissue, just above the fat pad of the foot, c lose to an artery and vein.

Above the nerve is a structure called the deep t ransverse metatarsal ligament. This ligament is very strong, holds the metatarsal bones together, and creates the ceiling of the nerve compartment. With each step, the ground pushes up on the enlarged nerve and the deep transverse metatarsal ligament pushes down. This causes compression in a confined space.

Symptoms:
Tingling, burning, or numbness, Pain.

The progression of a Morton's ne uroma often follows this pattern:
The symptoms begin gradually. At first they occur only occasionally, when wearing narrow-toed shoes or performing certain aggravating activities.
The symptoms may go away temporarily by massaging the foot or by avoiding aggravating shoes or activities.
Over time the symptoms progressively worsen and may persist for several days or weeks.
The symptoms become more intense as the neuroma enlarges and the temporary changes in the nerve become
permanent.


Treatment:
One of them is Injection therapy. If there is no s ignificant improvement after initial treatment, injection therapy may be tried.

Surgery may be considered in patients who have not received adequate relief from other treatments. Generally, there are two surgical approaches to treating a neuroma the affected nerve is either removed or released. Your foot and ankle surgeon will determine which approach is best for your condition.

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All in all, today's visit alone cost me nearly $300. Fuhhh!!! Berpeluh aku sekarang. And and.. Injection was given. The pain is rather more excruciating now. Haizz. And the specialist gave me an open date for the next appointment. To see the progress of the swollen nerve. And on a heavier note, he says, there might be a possibility of me having to go for the surgery if the swollen does not subside. And this will cost me nearly $5-6K for the surgery itself without adding the subsequent consultation fees.


Hokays, I'm absolutely getting paranoid here 'cause I'm feeling that I'm being such a great burden to my parents. :(

Not only that, the deformation of the fractured toe is done. Means, I'm going to have that deformed toe for the rest of my life. Shucccks!!!!!! I'm gonna hate this even more. Enough said, I'm getting to bed soon.

-It's just too much for today. Toodles-

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