- Title
- Sclerosing alcohol injections for the management of intermetatarsal neuromas: a systematic review
- Creator
- Santos, Derek; Morrison, Graeme; Coda, Andrea
- Relation
- The Foot Vol. 35, Issue June 2018, p. 36-47
- Publisher Link
- http://dx.doi.org/10.1016/j.foot.2017.12.003
- Publisher
- Churchill Livingstone
- Resource Type
- journal article
- Date
- 2018
- Description
- An intermetatarsal neuroma is a plantar digital neuritis causing metatarsalgia of the affected inter-metatarsal space. At present the evidence to support the management of the condition is poor with only some quality evidence supporting the short-term management of intermetatarsal neuromas using steroid injections. Some authors have supported the use of alcohol sclerosing intra-lesional injections to treat intermetatarsal neuromas. Following a search of the evidence 11 articles were identified. The systematic review found that alcohol injections appear to be safe although some papers report a short-term side effect of a flogistic reaction and there are variances in the alcohol concentration used and guiding verses not guiding the injection using ultrasound imaging. Some of the evidence may suggest a sclerosing histological effect of the nerve. However, all the studies reviewed present a research design offering a low level of evidence that is open to methodological biases and interpretation. Thus, this review found insufficient high-quality research evidence to afford conclusions on the management of intermetatarsal neuromas with alcohol sclerosing agent injections.
- Subject
- systematic review; intermetatarsal neuroma; Morton’s neuroma; alcohol injections
- Identifier
- http://hdl.handle.net/1959.13/1400532
- Identifier
- uon:34782
- Identifier
- ISSN:0958-2592
- Rights
- © 2018. This manuscript version is made available under the CC-BY-NC-ND 4.0 license http://creativecommons.org/licenses/by-nc-nd/4.0/
- Language
- eng
- Full Text
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