Morton's Neuroma Treatment Options
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Radiofrequency Nerve Ablation & Cryosurgery
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What is the difference between radiofrequency nerve ablation and cryosurgery?
Both methods involve intentionally damaging nerve fibres within the neuroma to disrupt the transmission of pain signals. Radiofrequency achieves this through heat, while cryosurgery does it with cold. Both procedures are considered minimally invasive, and their techniques and post-operative recovery are quite similar. Although cryosurgery is a viable alternative to radiofrequency ablation, we strongly favor the latter. This preference stems from the robust evidence base supporting radiofrequency nerve ablation's effectiveness, as demonstrated by extensive published research. Conversely, there's limited published research on cryosurgery for Morton’s neuroma, making it less established in comparison.
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Corticosteroid injection
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Corticosteroid injections are a common treatment for Morton's neuroma. The aim of a corticosteroid injection is to reduce inflammation, nerve thickening and pain. They are often effective in the short term (< 3 months) but less effective in the longer term for most patients. It is possible to have mutiple corticosteroid injections as and when required to manage the pain however this may increase the risk of unwanted side effects including thinning of the plantar fat pad and lesser toe deformities.
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Orthotics
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Orthotics are special insoles that are added to shoes to reduce pressure on/around the nerve. This helps prevent repetitive irritation of the nerve which reduces pain frequency and intensity. This can make the condition manageable in the long term and allow patients to continue their day to day activities. Sometimes orthotics aren't effective at reducing pain levels. This can happen if the neuroma is particularly large. In this scenario mosty patients go on to receive other treatment.
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Neurectomy
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Neurectomy involves surgical removal of the nerve via open surgery. This procedure is recommended when conservative treatments have not worked. The results of neurectomy are generally very good with overall success rates around 80 85%. The main post-op complication of neurectomy surgery is a stump neuroma. This is a painful end of the nerve where the nerve has been cut surgically. The incidence of stump neuroma is approximately 15%.
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If you’re suffering from Morton's neuroma and wonder whether our treatment options might be suitable for you then give us a call to discuss on 01225 983528 or schedule a call via the button below
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