Deniz Suleyman, Purtuloglu Tarik, Tekindur Sukru, Cansız Kadir Hakan, Yetim Memduh, Kılıckaya Oguz, Senkal Serkan, Bilgic Serkan, Atim Abdulkadir, Kurt Ercan
J Am Podiatr Med Assoc. 2015 Jul;105(4):302-6. doi: 10.7547/13-128.1. Epub 2015 May 6.
Morton's neuroma is a perineural fibrosis of an intermetatarsal plantar nerve. Burning, numbness, paresthesia, and tingling down the interspaces of involved toes may also be experienced. Taking into account all of this information, we designed a prospective open-label study to evaluate the efficacy of pulsed radio frequency on Morton's neuroma.
Twenty patients with Morton's neuroma were experiencing symptomatic neuroma pain in the foot not relieved by routine conservative treatment. All of the patients had been evaluated by a specialized orthopedist and were offered pulsed radio frequency as a last option before having surgery. Initially, pain level (numerical rating scale), successful pain control (a ≥50% pain decrease was accepted as successful pain control), comfort when walking (yes or no), and satisfaction level (satisfied or not satisfied) were evaluated.
We found a decrease in the pain level in 18 of 20 patients, successful pain control in 12, and wearing shoes and walking without pain in 16. Overall, satisfaction was rated as excellent or good by 12 patients with Morton's neuroma in this series.
This evidence indicates that ultrasound-guided pulsed radio frequency is a promising treatment modality in the management of Morton's neuroma pain.
莫顿神经瘤是跖间足底神经的神经周围纤维化。患者还可能感到受累脚趾间隙处有灼痛、麻木、感觉异常和刺痛。综合考虑所有这些信息，我们设计了一项前瞻性开放标签研究，以评估脉冲射频治疗莫顿神经瘤的疗效。
20例莫顿神经瘤患者足部出现症状性神经瘤疼痛，常规保守治疗无法缓解。所有患者均由专业骨科医生进行评估，并在手术前将脉冲射频作为最后一种选择。最初，评估疼痛程度（数字评分量表）、疼痛控制是否成功（疼痛减轻≥50%被视为疼痛控制成功）、行走时的舒适度（是或否）以及满意度（满意或不满意）。
我们发现20例患者中有18例疼痛程度减轻，12例疼痛控制成功，16例能够无痛穿鞋行走。总体而言，该系列中12例莫顿神经瘤患者将满意度评为优秀或良好。
这一证据表明，超声引导下的脉冲射频是治疗莫顿神经瘤疼痛的一种有前景的治疗方式。
