Morton’s Neuroma – Non-Surgical Treatment

The plantar nerves.
The plantar nerves. (Photo credit: Wikipedia)

A Morton’s neuroma is a common foot condition, sometimes referred to as a neuroma of the foot or simply mortons neuroma, which can be quite painful in shoes and even just walking. Patients complain of a numbness or pain in one or two toes and sometimes complain of feeling like they are walking or standing on a small rock. Temporary relief may be provided by removing the shoe and massaging the toes. This condition affects women and men.

For about ten years I have used a non-surgical treatment for this condition with success. If patients do not improve with the addition of pads to their shoes or the use of a pre-fabricated arch support I recommend a series of up to six injections consisting of a local anesthetic together with dehydrated sterile alcohol. This treatment is referred to as sclerosing alcohol injections and it has been published in peer reviewed scientfic publications. The injections do not contain a steroid and therefore do not cause the side-effects that injectable steroids may cause. Moreover, the injections are less painful than steroid injections and patients may resume their normal acitivites immediately after the injections. Most patients begin to feel some improvement and a decrease in their painful symptoms after the fourth injection. I will administer up to six but I will stop after four if the pain subsides. The injections are spaced about 10-14 days apart. Pain relief is long-lasting but the treatment can be repeated if necessary. Please visit the following link for more information about Morton’s neuroma