Neuroma

  • Footwear Modification

    Footwear modification is pivotal in managing Morton's neuroma. It reduces pressure on the affected area, enhancing comfort and quality of life.

    Key Considerations:

    Toe Box Width: Opt for spacious toe boxes for natural toe splaying.

    Low Heel Height: Choose flat soles to distribute weight evenly.

    Cushioned Insoles: Provide shock absorption and comfort.

    Arch Support: Maintain proper foot alignment and reduce strain.

    Avoid Narrow Toes: Prevent compression on the forefoot.

    Conclusion:

    Proper shoe selection significantly aids in neuroma management, complementing other treatments and improving overall effectiveness.

  • Padding and Taping

    Padding and taping techniques are vital components of non-invasive care for Morton's neuroma, focused on alleviating pressure and providing support.

    Key Techniques:

    Metatarsal Pads: Placed behind the ball of the foot, they spread metatarsal bones, relieving neuroma pressure.

    Felt Pads: Situated between toes, they shield against friction, easing neuroma discomfort.

    Adhesive Strapping: Gently binds toes, aiding alignment and reducing neuroma strain.

    Gel Inserts: Offer cushioning and support during weight-bearing activities.

    Taping Methods: Immobilize and support the area, curbing movement and friction.

  • Cortisone Injection

    Cortisone injections are a valuable intervention in managing Morton's neuroma, targeting inflammation and pain relief.

    Key Points:

    Administered directly into the affected area for targeted relief.

    Cortisone reduces inflammation around the neuroma, alleviating associated discomfort.

    Offers temporary relief, allowing for improved mobility and function.

    Post-Injection Care:

    Monitor for any signs of infection or adverse reactions.

    Conclusion:

    Cortisone injections serve as a valuable tool in managing Morton's neuroma, providing short-term relief from pain and inflammation. When combined with other treatment modalities, they contribute to an effective therapeutic approach.

Medical professional injecting a foot with a syringe, both wearing blue gloves.

Sclerosing alcohol injection

Sclerosing alcohol injection, also known as ethanol ablation, is a minimally invasive procedure utilized in the management of Morton's neuroma.

Procedure: During this outpatient procedure, a precise amount of medical-grade alcohol (ethanol) is injected directly into the neuroma. The alcohol induces controlled nerve damage, ultimately reducing pain and inflammation associated with Morton's neuroma.

Goals:

  1. Pain Alleviation: Ethanol ablation aims to provide significant relief from pain and discomfort caused by the neuroma.

  2. Inflammation Reduction: By targeting the affected nerve, the procedure helps to decrease inflammation, improving overall mobility.

Risks and Complications: While generally safe, there are potential risks associated with sclerosing alcohol injections:

  • Nerve Damage: In rare cases, unintended damage to adjacent nerves may occur.

  • Infection or Bleeding: Though infrequent, there is a small risk of infection or bleeding at the injection site.

  • Temporary Discomfort: Patients may experience temporary soreness or swelling around the treated area.

Surgical procedure on a foot, focusing on the removal of an ingrown toenail with medical tools.

Neurectomy

Neurectomy is a surgical procedure employed to address Morton's neuroma.

Procedure: During this outpatient surgery, the surgeon makes a small incision near the neuroma. The affected nerve or neuroma is carefully excised to eliminate the source of pain. Special care is taken to preserve surrounding nerves and tissues.

Goals:

  1. Pain Relief: Neurectomy aims to provide lasting relief from the persistent pain and discomfort associated with Morton's neuroma.

  2. Improved Functionality: By removing the neuroma, patients often experience enhanced mobility and comfort in weight-bearing activities.

Risks and Complications: While neurectomy is generally safe, there are potential risks:

  • Infection or Bleeding: As with any surgery, there is a slight risk of post-operative infection or bleeding.

  • Nerve Damage: While rare, adjacent nerves may be affected during the procedure.

  • Recurrence: In rare instances, neuromas may redevelop.