Infiltration of neuromas from Morton

INFILTRATION OF NEUROMAS FROM MORTON
 
Morton's neuromas are the most frequent orthopedic pathologies at the foot level. They are a cause of pain in the anterior plantar region (metatarsalgias) and result of thickening of the interdigital nerves by repeated traumatisms and areas of hyperpressure. They are often associated with halux valgus (commonly referred to as bunion). Discharge of the metatarsal head with special orthoses or insoles and infiltrations often prevent the need for surgery for the excision of Morton's neuroma.
 
The echogenic infiltration technique of Morton's nevromas allows the confirmation of the correct site to infiltrate, which is reflected in the improvement of clinical outcomes. 
 
It allows to evaluate and to identify in real time the existence of other comorbidities, with possibility of immediate treatment. It also prevents accidental infiltration of neighboring structures and injury of adjacent ligament / tendon structures.
 
Due to the clinical success, often achieved by these minimally invasive techniques, performed in an outpatient clinic, some surgeries are sometimes avoided, with the costs and risks inherent to the surgical procedure.
 
References:

Bennett GL, Graham CE, Mauldin DM. Morton's interdigital neuroma: a comprehensive treatment protocol. Foot Ankle Int. 1995; 16: 760-763 .; Hughes RJ, Ali K, Jones H, et al.

Treatment of Morton's neuroma with alcohol injection under sonographic guidance: follow-up of 101 cases. Am J Roentgenol. 2007; 188: 1535-1539. Saygi B, Yildirim Y, Saygi EK, et al.

Morton's neuroma: comparative results of two conservative methods. Foot Ankle Int. 2005; 26: 556-559.