Morton's neuroma medical therapy: Difference between revisions
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==Medical Therapy== | ==Medical Therapy== | ||
* | * Non-surgical treatment is instituted first | ||
*Anti- | * Physician may recommend any of the following: | ||
==== Conservative therapy for Morton's neuroma ==== | |||
* [[Morton's neuroma]] should be [[Managed care|managed]] conservatively before proceeding to expensive [[diagnostic procedures]] | |||
* Conservative [[Measure (mathematics)|measures]] for pain relief include: | |||
** Decreasing pressure on the metatarsal heads by using: | |||
*** Metatarsal support | |||
*** Metatarsal bars | |||
*** Metatarsal pads | |||
*** Padded shoe insert (it's important to place inserts properly just proximal to the metatarsal head) | |||
*** Tapping the toe area | |||
*** Orthotics | |||
*** Specialized orthopedic shoes | |||
*** Shoes with wider toe boxes allowing spread of metatarsal heads | |||
*** Determine proper shoe width while standing with the help of a professional shoe fitting device | |||
** Physical therapy | |||
** Strength exercises for intrinsic foot muscles | |||
==== Non-conservative medical therapy ==== | |||
* When conservative measures fail, following medical therapy is used for non-surgical treatment of neuroma: | |||
** [[Tricyclic antidepressant|Tricyclic antidepressants]] | |||
** Anticonvulsants (more effective) | |||
** Serotonin-norepinephrine reuptake inhibitors | |||
** Ultrasound-guided interdigital injection of following nerve blocking agents via '''dorsal approach''' into the site of tenderness: | |||
*** Steroid | |||
*** [[Local anaesthetic]] | |||
** Anti-inflammatory drugs (orally or injected into the toe area ) | |||
** Painkillers (not recommended for long-term treatment) | |||
==References== | ==References== | ||
Revision as of 01:04, 3 June 2019
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Morton's neuroma Microchapters |
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Morton's neuroma medical therapy On the Web |
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American Roentgen Ray Society Images of Morton's neuroma medical therapy |
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Risk calculators and risk factors for Morton's neuroma medical therapy |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Sara Mohsin, M.D.[2]Faizan Sheraz, M.D. [3]
Overview
Non-surgical treatment is instituted first.
Medical Therapy
- Non-surgical treatment is instituted first
- Physician may recommend any of the following:
Conservative therapy for Morton's neuroma
- Morton's neuroma should be managed conservatively before proceeding to expensive diagnostic procedures
- Conservative measures for pain relief include:
- Decreasing pressure on the metatarsal heads by using:
- Metatarsal support
- Metatarsal bars
- Metatarsal pads
- Padded shoe insert (it's important to place inserts properly just proximal to the metatarsal head)
- Tapping the toe area
- Orthotics
- Specialized orthopedic shoes
- Shoes with wider toe boxes allowing spread of metatarsal heads
- Determine proper shoe width while standing with the help of a professional shoe fitting device
- Physical therapy
- Strength exercises for intrinsic foot muscles
- Decreasing pressure on the metatarsal heads by using:
Non-conservative medical therapy
- When conservative measures fail, following medical therapy is used for non-surgical treatment of neuroma:
- Tricyclic antidepressants
- Anticonvulsants (more effective)
- Serotonin-norepinephrine reuptake inhibitors
- Ultrasound-guided interdigital injection of following nerve blocking agents via dorsal approach into the site of tenderness:
- Steroid
- Local anaesthetic
- Anti-inflammatory drugs (orally or injected into the toe area )
- Painkillers (not recommended for long-term treatment)