MORTONS INTERDIGITAL NEUROMA - A COMPREHENSIVE TREATMENT PROTOCOL

One hundred fifteen patients with signs and symptoms of Mortons' inter digital neuroma were studied in an attempt to evaluate the efficacy of a staged treatment program. The first stage consisted of patient educ ation, footwear modifications, and metatarsal head relief. The second stage consisted of a steroid/local anesthetic injection into the affec ted interspace. The third stage was surgical excision of the inflamed interdigital nerve. Overall, 97 of 115 patients (85%) believed that th ey had improved with the treatment program. Twenty-four patients (21%) eventually required surgical excision of the nerve and 23 of 24 patie nts (96%) had satisfactory results. The results of the staged treatmen t protocol were very satisfactory and patient satisfaction was high.