interdigital neuroma

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I have heard of injecting an interdigital neuroma with alchohol solution. Does anyone have experience with this treatment? I wish to find out the alchohol mixture/solution and any knowldege of dose and frequency. thankyou andrew burns

 

:welcome:

Hi - I have read about this too but I don't know much about it. You may find you get more replies if you re-post your question in one of the forums - suggest the General discussion one - as not everybody checked the introductions section. It may be useful to tell us which country you are in? Good luck in getting some more information.

 

my limit of knowledge is ethyl alcohol mixed with anaesthetic and injected into the lesion site. i have read of successful clinical trials. i now wish to treat using this treatment method. i have some patients not responding to revised footwear and orthotics.

 

Welcome Andrew Burns.
If you search the tags you may find some assistance to you query but as Ella has suggested postinf in alternative forums may help.
L.A. on its own and with cortisone are often used. Sclerosing with acholol I can not help with.
Prolotherapy/Acupuncture are other options that are used and have been discussed here previously.
Met domes have been successful treatments for some. Recently I have been trying cushioning alone and we have had results with that too.
Good Luck,

Cheers

 

Hi Andrew.
I myself have never used alcohol for an ID neuroma. But have had good success injecting a small amount of local mixed with betamethasone (cortisone). That really works well. Good luck! Vernon Lever

 

Hi,

I hope this sheds some light on the issue for you.

Regards,

Danny

Treatment of Morton's neuroma with alcohol injection under sonographic guidance: follow-up of 101 cases.

Hughes, Richard J. Ali, Kaline. Jones, Hugh. Kendall, Sue. Connell, David A.

Source AJR. American Journal of Roentgenology. 188(6):1535-9, 2007 Jun.

OBJECTIVE: Morton's neuroma is a common cause of forefoot pain. For this study, we assessed the efficacy of a series of sonographically guided alcohol injections into the lesion.

SUBJECTS AND METHODS: One hundred one consecutive patients with Morton's neuroma were included in this prospective series. An average of 4.1 treatments per person were administered, and follow-up images were obtained at a mean of 21.1 months after the last treatment (range, 13-34 months).

RESULTS: Technical success was 100%. Partial or total symptom improvement was reported by 94% of the patients, with 84% becoming totally pain-free. The median visual assessed pain score decreased from 8 before treatment to 0 after treatment (p < 0.001). Transitory increased local pain occurred in 17 cases (16.8%). There were no major complications. Thirty patients underwent sonography at 6 months after the last injection and showed a 30% decrease in the size of the neuroma.

CONCLUSION: We conclude that alcohol injection of Morton's neuroma has a high success rate and is well tolerated. The results are at least comparable to surgery, but alcohol injection is associated with less morbidity and surgical management may be reserved for nonresponders

 

Welcome Danny, I notice you have been a member since May 2008, so I am thinking that you know your way around the site.
Nice posting thanks for the information.
Where are you based? Like to add a flag and some more information on yourself? )
Good to have you along.

Cheers