Morton's interdigital neuroma: a comprehensive treatment protocol

Area of Science:

• Orthopedics
• Podiatry
• Surgical Innovation

Background:

• Morton's interdigital neuroma is a common cause of forefoot pain.
• Conservative treatments are often the first line of therapy.

Purpose of the Study:

• To evaluate the efficacy of a three-stage treatment protocol for Morton's interdigital neuroma.
• To assess patient outcomes and satisfaction with the staged approach.

Main Methods:

• A prospective study of 115 patients with symptomatic Morton's neuroma.
• Stage 1: Patient education, footwear modification, metatarsal padding.
• Stage 2: Corticosteroid/local anesthetic injection.
• Stage 3: Surgical excision of the neuroma.

Main Results:

• 85% of patients reported improvement with the staged treatment.
• 21% of patients ultimately required surgical intervention.
• 96% of surgically treated patients achieved satisfactory outcomes.

Conclusions:

• The staged treatment protocol for Morton's neuroma is highly effective.
• Patient satisfaction is high, with a low rate of surgical necessity.
• This conservative-to-surgical approach offers a successful management strategy.