Article ID | Journal | Published Year | Pages | File Type |
---|---|---|---|---|
9928658 | The Journal of Foot and Ankle Surgery | 2005 | 5 Pages |
Abstract
The purpose of this investigation was to conduct a prospective trial to assess the effectiveness of a 4% sclerosing alcohol injection in a small group of patients with intermetatarsal neuromas who had failed previous conservative therapies including corticosteroid injections. Six patients with 8 neuromas were followed for a mean 346 days. A weekly series of 3-9 injections containing 1 mL of the 4% alcohol sclerosing solution were given based on patient response to treatment. Pre- and posttreatment surveys consisting of both objective and subjective findings including a visual analog pain scale were collected. The average pretreatment visual analog pain rating was 7.5 ± 1.14. The average posttreatment visual analog pain rating was 1.38 ± 2.39 with an average reduction of 6.13. The average reported improvement in symptoms was 73%. Five of the 6 patients would recommend the treatment to a friend or family member. No complications were encountered. Two neuromas in 2 patients failed the sclerosing injection course: 1 ultimately responded to antiinflammatory use and the other underwent excision.
Keywords
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Authors
Christopher F. DPM, Lynette R. DPM, Alan J. (FACFAS), Robert B. DPM,