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Sclerosing Injection Therapy for Morton's Neuroma

Traditionally, surgical excision of a Morton's neuroma (neurectomy) has been performed when conservative treatments have failed. Non-surgical therapy for neuromas includes orthotics (foot inserts), physical therapy, cortisone injections, and non-steroidal anti- inflammatory medications as well as padding in the shoe. Surgery should always be considered as a last resort; especially due to the potential for complications (even though they are rare). Risks of the surgery include infection, numbness, digital deformity and painful scarring, as well as recurrence.

Now, however, there is a wonderful, highly successful alternative to surgery. It is far more effective than any of the non-surgical options, and when it works (70-80% of the time), it is typically permanent. The technique is called sclerosing therapy, and involves a series of alcohol injections into the site where the inflamed nerve is located. This is not a new technique in medicine; it is simply a proven procedure that is now being used in the foot. It has been used for many years in the spine for nerve problems with great success. The alcohol that is injected (diluted with local anesthesic) hampers the nerve's ability to transmit painful impulses. The alcohol affects the nerve by causing a "short circuit", and desensitizes the painful area leading to pain relief. The therapy involves a series of up to 7 injections, spaced apart by two week intervals. If after three injections the symptoms are not 40-50% decreased, the therapy is stopped and other options are explored. However, in the majority of cases, there is noticeable improvement, and the series is continued to completion. There is minimal discomfort during the injection, with no disability or down time after the injection. The patient may resume full activities, including exercising right away. These injections involve only a small amount of material, and are done right in the office.This procedure is covered by insurance; it is important to note that the insurance industry, not the doctor has given this procedure a surgical code (even though you are not having surgery) and therefore on the explanation of benefits form that you receive in the mail, it will appear as a surgery. All injection codes are deemed "surgical" by the insurance companies.

If you are suffering with symptoms from a Morton's neuroma, and would like to try this therapy, or come in for a consultation, please feel free to call our office for an appointment, or with questions that you may have. One of the doctors would be happy to discuss this with you.