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Alcohol injection for Morton's neuroma: a five-year follow-up
Sabahat Gurdezi1, Thomas White, Palanisamy Ramesh
1Kingston Hospital NHS Trust, Kingston-upon-Thames, UK. sabahatg@hotmail.com
Foot & Ankle International
|May 15, 2013
Summary
Alcohol injections for Morton
Area of Science:
- Podiatry
- Orthopedic Surgery
- Pain Management
Background:
- Morton's neuroma (MN) lacks extensive long-term treatment effectiveness studies.
- Alcohol injection for MN has gained popularity but its long-term efficacy is questioned.
- This study assesses medium-term results of alcohol injection for MN.
Purpose of the Study:
- To evaluate the medium-term effectiveness of alcohol injection for Morton's neuroma.
- To assess symptom recurrence and patient-reported outcomes at an average 5-year follow-up.
- To provide long-term data on alcohol injection treatment for MN.
Main Methods:
- Prospective case series (Level II evidence).
- Assessed 45 patients with Morton's neuroma at an average 61-month follow-up.
- Utilized modified Johnson score and visual analogue scales; noted complications.
Main Results:
- Only 29% (13/45) of patients remained symptom-free at 5 years.
- 16 patients required surgery, and 13 experienced symptom recurrence.
- Statistically significant deterioration in symptoms was observed over time.
Conclusions:
- Alcohol injection for MN shows encouraging short-term results but not permanent resolution for most.
- The treatment can be associated with considerable morbidity.
- This study provides crucial long-term data on alcohol injection for MN, challenging its definitive management status.
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