Ultrasound guided alcohol ablation of Morton's neuroma.

Abstract:

BACKGROUND:Morton's neuroma is a common cause of metatarsalgia. This study evaluated the efficacy of ultrasound guided alcohol injection as a treatment for this condition. METHOD:Data from 87 treatment courses were included in this study with a mean follow of 14.3 months. RESULTS:Technical success was 100%. One patient developed symptoms consistent with an allergic reaction to the injection and one patient declined further injection because of periprocedural pain. Partial or total treatment response was achieved in 66%, with 32% of patients having complete resolution of pain. The median visual analogue score (VAS) decreased from 8 pre-procedure to 4 post-procedure (p < 0.0001). Procedural success was greater in patients under 55 years old and in those with solitary neuromas. Seventeen patients (20%) went on to have surgery due to continuing pain. CONCLUSION:Ultrasound guided alcohol ablation for the treatment of Morton's neuroma was a safe procedure that significantly reduced pain and may offer an alternative therapy to surgery.

journal_name

Foot Ankle Int

authors

Musson RE,Sawhney JS,Lamb L,Wilkinson A,Obaid H

doi

10.3113/FAI.2012.0196

subject

Has Abstract

pub_date

2012-03-01 00:00:00

pages

196-201

issue

3

eissn

1071-1007

issn

1944-7876

journal_volume

33

pub_type

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