I have seen another interesting patient today and would like to give her some alternatives to surgical excision of a Morton's neuroma.
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38yo female (note: still breast feeding) with a 15 x 9 x 7mm Morton's Neuroma in the L/3-4 met interspace. Constant pain unless barefoot. Cortisone didn't help. I am about to make some orthoses for her but that will be dependent on how quickly she can get some form of therapy for this monster neuroma residing in her foot.
Her surgeon here would like to excise but with a plantar approach and the patient is quite concerned about scar tissue and residual nerve damage.
The other options I know about are radiofrequency coblation, cryotherapy and alcohol sclerosis. I haven't had any other patients trial these methods.
:confused:
Does anyone have any information on how successful these procedures are?
How many times would she need treatment (I thought the alcohol sclerosis was weekly?)?
And where are these priocedures done (i.e., I thought the cryotherapy may have only been done in the States & the only options here in HK are surgery or coblation)?
I would appreciate any information, whether from studies or anecdotal. I thank you in advance for your help. :D
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