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Radiofrequency Thermoneurolysis for the Treatment of Morton’s Neuroma

Published:November 07, 2011DOI:https://doi.org/10.1053/j.jfas.2011.10.007

      Abstract

      Pedal neuroma is a common disorder. The authors undertook a review of 32 feet in 29 patients with a symptomatic neuroma treated between January 2007 and January 2010 to evaluate the effectiveness of radiofrequency thermoneurolysis therapy in alleviating symptoms. Overall relief of symptoms was rated as complete by 24 (83%) patients, with 5 patients experiencing minimal to no relief. Two patients were lost to follow-up after 1 month, 2 patients opted for no further intervention, and 1 patient went to open resection of the neuroma. Average follow-up was 13 months and total recovery time was 2 days. Complications included 1 foot with cellulitis treated by a course of oral antibiotics. The results of this retrospective study indicate radiofrequency thermoneurolysis therapy is a safe, effective, and minimally invasive alternative treatment for symptomatic neuromas of the foot.

      Level of Clinical Evidence

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      References

        • Pisani G.
        Sindrome di Givinini-Morton (III nervo digitale commune). Tattoo di Chirugia de Piede.
        ed 2. Edizioni Minnerva Medica, Turin1993 (pp. 505–510)
        • Morton T.G.
        A peculiar and painful affection of the fourth metatarsophalangeal articulation.
        Am J Med Sci. 1876; 71: 37-45
        • Youngswick F.D.
        Intermetatarsal neuroma.
        Clin Podiatr Med Surg. 1994; 11: 579-592
        • Bartolomei F.J.
        • Wertheimer S.J.
        Intermetatarsal neuromas: distribution and etiologic factors.
        J Foot Surg. 1983; 22: 279-282
        • Bennett G.L.
        • Graham C.E.
        • Mauldin D.M.
        Morton’s interdigital neuroma: a comprehensive treatment protocol.
        Foot Ankle Int. 1995; 16: 760-763
      1. Berry K, Gonzalez P, Bowman R. Morton neuroma. Available at: http://www.emedicine.medscape.com 2010. Accessed October 16, 2011.

        • Taha J.M.
        • Tew J.M.
        • Buncher R.C.
        A prospective 15 year follow up of 154 consecutive patients with trigeminal neuralgia treated by percutaneuos stereotactic radiofrequency thermal rhizotomy.
        J Neurosurg. 1995; 83: 989-993
        • Rosenthal D.I.
        • Springfield D.S.
        • Gebhardt M.C.
        • Rosenberg A.E.
        • Mankin H.J.
        Osteoid Osteoma: percutameuos radiofrequency ablation.
        Radiology. 1995; 197: 451-454
        • Troussier B.
        • Lebas J.F.
        • Chirossel J.P.
        • Peoc’h M.
        • Grand S.
        • Leviel J.L.
        • Phelip X.
        Percutaneous intradiscal radiofrequency thermocoagulation.
        Spine. 1995; 20: 1713-1718
        • Yamashita K.
        • Satake S.
        • Ohira H.
        • Ohtomo K.
        Radiofrequency thermal balloon coronary angioplasty: a new device for successful percutaneous transluminal coronary angioplasty.
        J Am Coll Card. 1994; 23: 336-340
        • Lesch M.D.
        • Van Hare G.F.
        • Epstein L.M.
        Radiofrequency catheter ablation of atrial arrhythmias.
        Circulation. 1994; 89: 1074-1089
        • Van Kleef M.
        • Spaans F.
        • Dingemans W.
        • Barendse G.A.M.
        • Floor E.
        • Sluijter M.E.
        Effects and side effects of a percutaneous thermal lesion of the dorsal root ganglion in patients with cervical pain syndrome.
        Pain. 1993; 52: 49-53
        • Lakie M.
        • Arblaster L.A.
        • Roberts R.C.
        • Varma T.R.K.
        Effects of stereotactic thalamic lesion on essential tremor.
        Lancet (London). 1992; 340: 206-207
        • Shepherd A.C.
        • Gohel M.S.
        • Brown L.C.
        • Metcalfe M.J.
        • Hamish M.
        • Davies A.H.
        Randomized clinical trial of VNUS ClosureFAST radiofrequency ablation versus laser for varicose veins.
        Br J Surg. 2010; 97: 810
        • Cione J.A.
        • Cozzarelli J.
        • Mullin C.J.
        A retrospective study of radiofrequency thermal lesioning for the treatment of neuritis of the medial calcaneal nerve and its terminal branches in chronic heel pain.
        J Foot Ankle Surg. 2008; 48: 142-147
        • Finney W.
        • Wiener S.
        • Catanzariti F.
        Treatment of Morton’s neuroma using percutaneous electrocoagulation.
        J Am Podiatr Med Assoc. 1989; 79: 615-618