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Old 09-23-2006, 05:38 AM   #1
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Smile Sclerosing Alcohol Injections For Mortons Neuroma

Hi

After trying everything from padding, icing, antiinfamatory, $400 Footmax Orthotics, and also cortisone shots for mortons neuroma (all of which have done very little) my Doctor suggested that I try the Sclerosing injections which are supposed to have an 80% success rate and they are supposed to deaden the nerve.

My Dr. is not in favor of the surgery to remove the neuroma. I will be having between 4-6 injections spaced
1-2 weeks apart. I had my first one a week ago, and it wasn't bad as far as a shot goes. ( Of course my foot was numb from the medication)

My question is... have any of you had the scelorising injections, and did they work for you and also, how many did it take before you started getting relief? The weird part about my neuroma is that what I am experiencing is not pain that I read about, but a tingling feeling in the ball of foot and it also feels like I have a sock bunched up in the shoe or like I'm walking on pebbles when I walk.

Thanks For Your Input...Sharon

 
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Old 09-23-2006, 06:32 AM   #2
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Re: Sclerosing Alcohol Injections For Mortons Neuroma

Well, from what I learned when I had one and did the research, you should not have had the cortisone ones. If they are done, it should be one only for diagnostic purposes. The alcohol injections, if done properly, should require only 2 or 3 to kill the nerve ending. I had mine removed. It was a fairly simple procedure and I was walking that day. Back at work the next and never had any problems. That was almost 5 years ago. Whyis your surgeon not in favor of removal? Sounds like he's not confident in his abilities.

 
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Old 09-23-2006, 06:46 AM   #3
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Re: Sclerosing Alcohol Injections For Mortons Neuroma

Sharon,
I also had neuromas. I did the alcohol, steroids,and had quite a few surgeries. If your doc want to cut the ligments between the toes, don't do it. it really doesn't work. the only reason i had so many surgeries is because i developed several infections that wouldn't go away. ,Most people do not have this many problems. But the main surgery is pretty simple.

 
Old 09-23-2006, 08:19 AM   #4
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Smile Re: Sclerosing Alcohol Injections For Mortons Neuroma

My Dr. is very confident in his abilities with over 30 years in the practice. The main reason he is not in favor of the surgery is because a stump neuroma usually grows back and causes more problems. Most Drs. like to use the least invasive procedures befor jumping into surgery, which in some cases is a quick way of them making a few easy bucks.

The scelrosing injections are much less invasive with a high success rate. I would rather do anything than to have my foot sliced open. If you go to [[I]removed[/I]] you will get a lot of good information directly from another competent Dr. (Dr. Jeff Oster) He is another one not in favor of surgery. Dr. Jeff also said that cortisone shots and scelorising injections are used for two totally different purposes and having scelorising injections a few months later would not be a problem.

I am wanting a response from anyone who has had the scelorising injections and their experience with them.

Lostmary...How did the scelorising injections work for you? I had heard the same thing as you about not cutting the ligament between the toes.

Thanks... Sharon

Last edited by WanderingMod; 09-23-2006 at 08:27 AM. Reason: Please read and follow the posting rules. Posting commercial websites is not permitted.

 
Old 09-23-2006, 09:04 AM   #5
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Re: Sclerosing Alcohol Injections For Mortons Neuroma

The alcohol injectons can work. I did not say they didn't...only the cortisone. However, if they don't work, the only recourse after that is the surgery. Stump neuromas should not develop if the neurectomy is properly performed. I've read a great deal about that and they are certain things they should apply to cut nerve to prevent this (I forget exactly but it does contain alcohol to some degree). My surgeon did that. This is often a sports related injury that runners tend to get. Avoiding the cortisone injections is important for them as atrophy of the fad pad is a very serious issue for them.
Since I'm a jogger, I was very interested in avoiding any side effects that might limit my ability to get back to running. We have a world reknowned sports med clinic here in Birmingham and I used their foot doctor. A lot of my information came from him (Dr. John Gould) and a podiatrist that I know in Texas (Dr. Robert Brodkin).

Also, my mother had the neurectomy in the 1980's and never had any issues with it and she died this year. I also know several others who have had this and all have been successful to date.

 
Old 09-23-2006, 09:49 AM   #6
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Re: Sclerosing Alcohol Injections For Mortons Neuroma

Sorry to hear of your Mom's passing. Good to hear of a good report with the surgery. That will still be my last resort. I am hoping that I will be in the 80% success rate of people that the sclerosing injections work for. Your right about the cortisone, they did zero for me, as well as all the other things I have tried. I just hope the injections kick in after at least 3. I do country line dancing which no doubt has contributed to my problem. Too many step pivots!

Sharon

 
Old 09-23-2006, 11:59 AM   #7
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Re: Sclerosing Alcohol Injections For Mortons Neuroma

Yes, I'm also a Cajun and Zydeco dancer! I also had to have a cheilectomy on the great toe in that same foot..and I sit here with a walking boot on it for a stress fracture (too many miles on my running shoes!). So I can relate. It's not fun when the things you enjoy doing cause pain! Hope the injections work for you. I just wanted to get it over with!

 
Old 09-24-2006, 04:59 AM   #8
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Re: Sclerosing Alcohol Injections For Mortons Neuroma

Sharon,

I didn't have a lot of luck with the alcohol inj. We tried everything before surgery, but nothing worked well. The best results were were from the injections, but only because of the numbing effect. I was happy for several hrs of pain relief. So far as the stump neuroma coming back, if the doc inplants the ends of the nerve into healthy, strong muscle in the foot, then the nerve sits pretty happy. If you leave it loose, then you may get a stump. The surgery wasn't so bad the first time. Mine was a very large one, so doc went thru the bottom of the foot. Depending on the size, and location, going thru the top of the foot is quicker and just as good.
Mary

 
Old 09-25-2006, 05:24 AM   #9
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Re: Sclerosing Alcohol Injections For Mortons Neuroma

Hi Mary

Just wondering how many of the Sclerosing Injections did you have? I have only had one so far. I am due for my 2nd
one this week. I experienced the same thing as you did (at least with the first one.) When I left the office I was thinking Yippee!! since the ball of my foot was numb and I could not feel the annoying feeling I had been having, only to be disappoiointed later in the day when the feeling returned.

It was then that I realized that my foot was numb mostly from the medication and not the injection. I have been told not to expect any permanent relief until at least after the 3rd injection and that normally it requires between 4-6to deaden the nerve. I'm hoping it works for me.

Like I mentioned on my first post, I have never experienced pain, only this annoying tingly feeling on the ball of my foot (the nerves rubbing constantly against the bones) I also have a bunched up sock feeling when I am am walking. Morton's Neuroma has many symptoms and pain is not always involved, so I am grateful to not be experiencing pain. I have had this since June of 2005, so It's time for it to go!

[removed]

Sharon

Last edited by WanderingMod; 09-25-2006 at 04:49 PM.

 
Old 09-25-2006, 08:31 AM   #10
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Re: Sclerosing Alcohol Injections For Mortons Neuroma

Hi All,

I have had a neuroma problem for the past 2 years +
After several alcohol injections -
HAd a liagament release 05/04
Alcohol injection 09/04
Alcohol injection 07/05
Alcohol injection 07/06

my latest is that the foot specialist wants me to have the nerve removed. I am in between 2 minds as I am a ballet dancer it is my hobbie. Been dancing since I was 8 now 38. Did not like the experience of the liagement release surgery I am still in al ot of pain and have to take it easy with dance as it kills my foot but keep the rest of my body in shape.....

Still making a decision.....

 
Old 09-25-2006, 12:49 PM   #11
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Re: Sclerosing Alcohol Injections For Mortons Neuroma

Cupcake:

The ligament release is prbably part of your probem. There is nothing holding the bones togther in that location. At any rate, if the alcohol injections haven't killed the nerve ending by now, they probably won't. Where are you located?

 
Old 09-26-2006, 05:43 AM   #12
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Re: Sclerosing Alcohol Injections For Mortons Neuroma

Hi Titchou,

I am in Bermuda but travel to the US quite a bit. I will be going back to the Baltimore area to a well known dr who deals with Neuromas next spring when I get my eyes tested.

thanks.

 
Old 09-26-2006, 01:26 PM   #13
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Re: Sclerosing Alcohol Injections For Mortons Neuroma

Cupcake: You might also contact the Ravens' front office and see who they use for this. Am sure they are good....and you could get a second opinion at least...

Titchou

 
Old 09-26-2006, 07:01 PM   #14
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Re: Sclerosing Alcohol Injections For Mortons Neuroma

Cupcake,

I had about 8-9 alcohol injections. Doc told me that it helps in a lot of cases, but not in all. It all depends on the position and size. Mine was lower down on the foot, and it was quite big. Also, there was some other things going on that didn't show up until after surgery. that's when the infection showed up. Hope that helps

 
Old 10-11-2006, 02:56 PM   #15
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Re: Sclerosing Alcohol Injections For Mortons Neuroma

I'm on the 3rd injection of the series right now.

I'm experiencing pain and discomfort that I'm attributing to the injections - not from the neuroma - althought they symptoms are virtually the same.

The protocol calls for 4% alcohol solution at .50CC per injection. Make sure that's what you're getting. My doc (the second I've seen) has been using between .75 and 1.00cc and I believe it's too much volume and is causing the discomfort. Some docs have used 6%, so you will want to avoid that.

The injections themselves are not painful or uncomfortable, especially if you're not needle-phobic. My doc freezes the area first topically and then goes in. You'll get a little zing here or there, but it's very tolerable.

But I'm discouraged that it after the first two injections, there really wasn't much improvement. Guess I gotta be more patient.

 
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