We presented this study looking at the success of a single surgeon administered injection (without image guidance) for the conservative treatment of intermetatarsal neuroma to the SICOT Orthopaedic World Congress in Rome, September 2016.
We looked back at the experiences of patients after a single injection in the outpatient clinic with local anaesthetic and corticosteroid for the conservative treatment of symptomatic neuromata. When followed up for a mean of 29 months, approximately 60% of patients did not progress to require surgical treatment. There is rarely additional benefit in a second or third injection if the initial effect wears off quickly (within 6 weeks).
If conservative treatment of Mortons neuroma is unsuccessful then surgical treatment can be very effective for some patients: