Morton's Neuroma in Laval | Non-Surgical Injectable Options

Introduction

When Morton's neuroma remains painful despite well-conducted conservative management, certain injectable options may be discussed to relieve pain and improve function, before considering a surgical approach.

At Clinique Podiatrique de l'Avenir, our podiatrists in Laval evaluate and discuss appropriate injectable options, using a progressive and individualized approach that complies with Quebec regulatory standards.

When to Consider an Injectable Option?

An injectable option may be discussed when:

• The Morton's neuroma diagnosis is well established
• Orthotics, shoe adjustments and load modifications have been tried
• Pain remains limiting for walking or sports

Sclerosing Alcohol Injection

Principle

Sclerosing alcohol injection is used to:

• Reduce painful transmission of the interdigital nerve
• Contribute to relief of localized neuropathic pain

It is generally considered before a surgical approach.

Hyaluronic Acid

Principle

In certain clinical presentations, hyaluronic acid may be used to:

• Reduce local friction around the nerve
• Improve mechanical comfort in the forefoot
• Support surrounding tissues

PRP (Platelet-Rich Plasma)

Principle

PRP may be discussed in certain targeted situations, as a complementary biological modality, according to clinical evaluation and available data.

How to Choose the Right Option?

The choice depends on:

• Type of pain (neuropathic vs mechanical)
• Duration and severity of symptoms
• Treatments already tried
• Patient profile and goals

A complete podiatric evaluation is essential.

Surgery (Last Resort)

When injectable and conservative options do not provide sufficient relief, a surgical option may be discussed as a last resort.