Abstract
Forefoot pain can be debilitating and limit mobility and activity. Two common sources of forefoot pain are metatarsophalangeal joint pathology and Morton’s neuroma. Office-based imaging-guided procedures can treat pain from the MTP joint and Morton’s neuroma. We aim to outline common nonsurgical pain procedures used to treat forefoot pain due to these etiologies.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Suggested Reading
Adams WR. Morton’s neuroma. Clin Podiatr Med Surg. 2010;27(4):535–45.
Balint PV, Kane D, Hunter J, McInnes IB, Field M, Sturrock RD. Ultrasound guided versus conventional joint and soft tissue fluid aspiration in rheumatology practice: a pilot study. J Rheumatol. 2002;29(10):2209–13.
Honvo G, Reginster J-Y, Rannou F, Rygaert X, Geerinck A, Rabenda V, et al. Safety of intra-articular hyaluronic acid injections in osteoarthritis: outcomes of a systematic review and meta-analysis. Drugs Aging. 2019;36(1):101–27.
Kawalec JS. Mechanical testing of foot and ankle implants. In: Friis E, editor. Mechanical testing of orthopaedic implants. Woodhead Publishing; 2017. p. 231–53.
Lu VM, Puffer RC, Everson MC, Gilder HE, Burks SS, Spinner RJ. Treating Morton’s neuroma by injection, neurolysis, or neurectomy: a systematic review and meta-analysis of pain and satisfaction outcomes. Acta Neurochir. 2020; https://doi.org/10.1007/s00701-020-04241-9.
Manadan AM, Mushtaq S, Block JA. Radiocarpal and first metatarsophalangeal intraarticular injection site confirmation with fluoroscopy and review of accuracy of intraarticular injections. Am J Ther. 2015;22(1):11–3.
Mares AV, Schreiter R, van Eck CF, Blanc R, Musahl V. Management of athletic turf toe using biologics. Oper Tech Orthop. 2016;26(2):117–21.
Masala S, Cuzzolino A, Morini M, Raguso M, Fiori R. Ultrasound-guided percutaneous radiofrequency for the treatment of Morton’s neuroma. Cardiovasc Intervent Radiol. 2018;41(1):137–44.
Morgan P, Monaghan W, Richards S. A systematic review of ultrasound-guided and non–ultrasound-guided therapeutic injections to treat Morton’s neuroma. J Am Podiatr Med Assoc. 2014;104(4):337–48.
Pabinger C, Malaj I, Lothaller H, Samaila E, Magnan B. Improved injection technique of ethanol for Morton’s neuroma. Foot Ankle Int. 2020;41(5):590–5.
Pasquali C, Vulcano E, Novario R, Varotto D, Montoli C, Volpe A. Ultrasound-guided alcohol injection for Morton’s neuroma. Foot Ankle Int. 2015;36(1):55–9.
Perini L, Perini C, Tagliapietra M, Varotto D, Valcarenghi A, Postorino A, et al. Percutaneous alcohol injection under sonographic guidance in Morton’s neuroma: follow-up in 220 treated lesions. Radiol Med. 2016;121(7):597–604.
Sahler CS, Spinner DA, Kirschner JS. Ultrasound-guided first metatarsophalangeal joint injections: description of an in-plane, gel standoff technique in a cadaveric study Foot Ankle Spec. 2013. https://journals-sagepub-com.eresources.mssm.edu/doi/10.1177/1938640013493465.
Spinner DA, Mazzola AJ. General principle of musculoskeletal scanning and intervention. In: Peng P, Finlayson R, Lee SH, Bhatia A, editors. Ultrasound for interventional pain management: an illustrated procedural guide. Cham: Springer; 2020. p. 207–12. https://doi.org/10.1007/978-3-030-18371-4_18.
Vadada K, Chang RG, Sahler C, Kirschner JS. Foot and ankle. In: Spinner DA, Kirschner JS, Herrera JE, editors. Atlas of ultrasound guided musculoskeletal injections. New York, NY: Springer; 2014. p. 69–88. (Musculoskeletal Medicine). https://doi.org/10.1007/978-1-4614-8936-8_7.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2022 The Author(s), under exclusive license to Springer Nature Switzerland AG
About this chapter
Cite this chapter
Spinner, D.A., Eldon, E.R. (2022). MTP Joint and Morton’s Neuroma. In: Jankovic, D., Peng, P. (eds) Regional Nerve Blocks in Anesthesia and Pain Therapy. Springer, Cham. https://doi.org/10.1007/978-3-030-88727-8_69
Download citation
DOI: https://doi.org/10.1007/978-3-030-88727-8_69
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-030-88726-1
Online ISBN: 978-3-030-88727-8
eBook Packages: MedicineMedicine (R0)