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Welcome to Everything About
Morton’s Nerve Entrapment Syndrome
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Treatment of Morton’s neuroma/entrapment (MNE)!
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25 Years of Medical and surgical Excellence

Welcome to Our Clinic

Dr. Peter Bregman, has been the previous past President of the Association of Extremity Nerve Surgeons and was 1 of the co-author’s of the clinical practice guidelines for treatment of peripheral nerve problems including all issues as it relates to Morton’s neuroma.  He received specialized training from Lee Dellon, MD who is considered one of the pioneers of peripheral nerve surgery and also completed a micro-surgical training course at the Mayo clinic in Rochester Minnesota.  Teaches the procedure to other surgeons who are being trained to perform decompression.  Getting proper training for nerve decompressions and saying you do them are very different situations.

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Morton’s Neuroma

What is a Morton’s Neuroma? Well, first of all it is NOT a true neuroma meaning it is not a tumor.  It is an entrapment syndrome much like carpal tunnel syndrome.  There is a ligament called the deep transverse inter-metatarsal ligament that is compressing the nerve and causing pain, swelling and fibrosis of the nerve.  This is why it gets bigger.  So, it will be referred to as MNE. Why do people get it?

Sometimes trauma, sometimes repetitive microtrauma (wearing of tight shows), born with foot mechanics that pre-disposes you to it.

“I have been treating this problem for approximately 25 years and over the last 15 years have dedicated most of my practice towards the treatment of peripheral nerve problems focusing on this area in particular.  Unfortunately, many physicians and surgeons treat this problem with dogma and a throwing darts approach.  I can unequivocally say that there is a specific protocol that should be utilized when treating this condition known as Morton’s neuroma which is really an ENTRAPMENT problem.  Morton’s Nerve Entrapment MNE.  Neurectomy or cutting out the nerve should never be a first line surgical treatment.  The possibility for a stump neuroma is not worth the risk as a primary procedure.  Having been involved in several online medical groups dedicated to patients and observing all of the problems related to neurectomies, I can tell you that in many cases doctors are treating this condition in a haphazard manner and often resorting to neurectomy far too quickly.  People who have a failed neurectomy often are far worse off than they were before having the first surgery.  Stump neuroma treatment while it has become better is still something that can only improve the situation, not completely rectify it.  It is a devastating complication from a neurectomy.  A neurologist is not someone who treats this very often so probably do not waste time with one or a primary care doctor.

Mission & Vision Statement

Our Mission

To simply provide you the patient with the best possible treatment of this condition with 25 years of experience.

Vision Statement

Dr. Bregman continues to evolve and provide the most up-to-date treatment for this condition.

Clinic Principles

We are committed to helping, educate the public as well as other providers to avoid neurectomies and utilize the concept of Decompression and when necessary treat stump neuromas appropriately

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Testimonials

There's a reason Dr Bregman has been voted top foot doctor for the last 4 years in a row. I just had my foot surgery two weeks ago and from start to finish, from initial consultation to post op, I have always felt secure and confident I was in the best of hands. Dr Bregman is experienced and knowledgeable and has a great personality and he also has the best staff in the business. Manny filled out my FMLA paperwork and it was approved quickly and without a hitch. The staff are always welcoming and caring. I always feel at ease and happy after visiting his office. I know my journey with them is almost over ( in two weeks) and I know I will miss them. I almost wish it wasn't over so soon. I was seeing another podiatrist for about a year, and he kept misdiagnosing my foot issue and recommended stretching exercises or rolling my foot on a ball. He claimed I had plantar fasciitis. After months of me insisting something else was wrong, he finally ordered an MRI and sure enough, I had a growth in my foot about the size of a walnut, that was causing me pain and atrophy of the toe muscles. That doctor didn't seem confident that he could do the surgery and he tried to convince me to just "live with the pain", and that it wasn't anything too serious. Then Covid happened and I had to postpone surgery and it was a blessing in disguise as I was then referred to Dr Bregman by my new PCP. At our initial consultation he did an ultrasound of my foot and instantly saw the problem and gave a possible diagnosis of a schwannoma. He was correct.
Met with the amazing Peter Bregman this morning at his practice in Las Vegas. He was patient with me and was very knowledgeable about all things MN. | am going to go back (I don't live in the area) and get decompression surgery in August or September. Super stoked as | have been suffering with this for close to 10 years. For anyone who feels hopeless | implore you to seek him out. | finally feel like | have a plan. Thanks Doc!!!
Here is my almost 2.5 months post decompression surgery (by Peter Bregman, Las Vegas) I have waited to post because I have felt discomfort from my two toes around incision being stiff. I was not sure if it was just from being that I had surgery or if I was feeling my nerve. Well I would say after stretching and getting a compression ankle brace Imi don’t think I was feeling my nerve/neuroma, but just my stiffness from my foot being cut. At this point in my journey I do not feel my neuroma and it does seem that I am healed from any pain. I am able to go on long walks, short runs, and have just began doing some beginner level aerobics. (Taking it slow to be sure I don’t push it) AND I feel no pain!! I am very glad I did my research and made the ultimate decision to move forward with decompression. Oh and I can walk bare foot and not limp or walk side foot with no pain. Though I don’t do it a lot because I don’t want to go back lol
There is hope! A year ago I had to stop hiking, running, etc. due to Morton's Neuroma. Found this site, studied everything I could find on MN, chose Decompression Surgery, flew to Las Vegas to have Dr. Peter Bregman fix my foot...10 months post-op completed my first Spartan Race yesterday...no foot pain. It did ache a little afterwards (I might have a little scar tissue and my mechanics are slighty off) but my knee and shoulder hurt much worse! I raced in Altra Trail Runners with Superfeet inserts...even if they are ruined from the mud
I'm very pleased from start to finish with your procedure! My questions were for you was about the cut of the ligament, how it would affect my mobility. My recovery for my two cuts was truly 10 weeks. I know each case is individual but clarification for post- recovery steps are helpful to visualize.

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