A Morton’s neuroma is an inflamed, thickened nerve in the ball of the foot. The common symptoms are pain, tingling and numbness in the ball of the foot and shooting to the 2nd and 3rd toes. It’s common to experience a feeling of walking on a lump or bunched up sock. Common treatments include rest, ice, anti-inflammatory medications, padding, rigid shoes, orthotics and steroid injections. Alcohol injections are an effective treatment for neuromas which have not responded to conservative therapy. Alcohol is a nerve sclerosing agent, which means the alcohol (ethanol) causes a chemical destruction of the nerve and decreases it’s ability to transmit sensation. In a study in the American Journal of Roentgenology, ultrasounded guided alcohol injections were evaluated in 101 patients with Morton’s neuroma. The injections were given every two weeks for eight weeks. The average pain score before treatment was an 8, after the treatment, the average pain score dropped to 0. The authors concluded that ultrasound guided alcohol injections were a safe and effective treatment for Morton’s neuroma.
Am J Roentgenol 188(6):1535-1539, 2007 Jun.
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