Nonoperative treatment of plantar interdigital neuroma with a single corticosteroid injection.
Patients who received a single corticosteroid injection for treatment of third webspace plantar interdigital neuroma were studied retrospectively. Forty-three patients (51 feet) were available for followup study (followup mean, 4 years; range, 2 to 6 years). Mean age of patients was 53 years. Pain initially was relieved in 36 patients (41 feet [80%]). Twenty-four feet (47%) ultimately required surgical excision, while most of the remaining 27 feet (53%), which had not been treated surgically, were the source of residual symptoms in patients. A single corticosteroid injection cannot be recommended as a cure for symptoms of third webspace neuroma, but it can be offered as a temporizing measure or as nonoperative treatment. A single corticosteroid injection does not preclude a successful surgical result.
Rasmussen
M R
MR
Department of Orthopaedics, Mayo Clinic, Rochester, MN 55905, USA.
Kitaoka
H B
HB
Patzer
G L
GL
D000328:Adult; D000368:Aged; D001623:Betamethasone / Q000627:therapeutic use*; D005260:Female; D005534:Foot Diseases / Q000188:drug therapy*; D005938:Glucocorticoids / Q000627:therapeutic use*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009463:Neuroma / Q000188:drug therapy*; D012189:Retrospective Studies; D014034:Toes; D017211:Treatment Failure
D005938:Glucocorticoids; D001623:Betamethasone