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.

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.

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.