Nervous System Diseases

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Morton Neuroma

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Neoplasms, Nerve Tissue

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Lidocaine

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1 injection of 1mL methylprednisolone \[40mg\]with 1 mL 2% lignocaine

weekly manipulations to the metatarsophalangeal joints of the forefoot for 6 weeks

a single injection of 1 mL methylprednisolone \[40 mg\] and 1 mL 2% lignocaine

methylprednisolone

The lesser MTPJs of the affected foot will be manually manipulated using a high velocity, low amplitude thrust technique.

manual manipulation

David G Cashley, BSc(Hons)Pod

This study compares manipulative therapy to steroid injection in the treatment of Morton's Neuroma.

The aim of this study is to establish whether manipulative therapy is an effective treatment for Morton's neuroma, a nerve entrapment in the foot. Steroid injection is the current gold standard conservative treatment for this condition. Therefore, a subject group shall be compared to a steroid injection intervention group. Outcomes will be compared using visual analogue pain scales -VAS, Foot Function Index questionnaires and algometric pressure threshold testing. An improvement in the manipulation group VAS of 20mm above the injection group shall be considered as the minimum worthwhile change as this has been identified as the minimum clinically important difference in pain between treatment groups in visual analogue pain scales.

Morton's Neuroma: Manipulation Versus Steroid Injection

Manipulation Versus Steroid Injection in the Treatment of Morton's Neuroma

A questionnaire to establish subjects level of function, pain and mobility changes over time

Patient reported outcome measurement tool to measure changes in foot pain over time

Measuring changes in self reported pain over time. 100mm scale with anchored prompts of "no pain" at 0mm and "worst pain ever" at 100mm

Measuring changes in pressure tolerance over time. A meter which reads how much change in pressure a joint can withstand before it registers discomfort

Queen Margaret University

Dundee Podiatry Clinic

Radiofrequency procedure prior to the removal of morton's neuroma.

* Radiofrequency Machine: Multilesion Generator 3 Channels TLG-10 STP.
* Temperature: 80-85ºC
* Time: 90 seconds
* Active needle size: 1 cm
* Number of Applications: 3
* Impedance: less than 550
* Ultrasound. General Electric Logic R7 with 12 Mgh probe.

Peripheral ablation of affected Morton´s Neuroma nerve endings by thermal dissipation by an electrode.

Radiofrequency

The purpose of this study is to perform a radiofrequency procedure prior to the removal of morton's neuroma. This procedure would be performed to check in which percentage of the nerve ablation has been performed, and whether the current protocol is performed correctly or parts of the nerve remain intact.

Performing a radiofrequency procedure prior to the removal of morton's neuroma. This procedure would be performed to check in which percentage of the nerve ablation has been performed, and whether the current protocol is performed correctly or parts of the nerve remain intact.

* Step 1: Visualize the needle on the long axis of the probe.
* Step 2: Neurostimulate
* Step 3: Deposit of 1-2cc of anesthetic and wait about 2 minutes.
* Step 4: we apply the continuous radiofrequency at that point and once done we change the position of the needle to more dorsal planes anatomically and we made 2 more applications (in this case we will no longer have neurostimulation because the patient will be anesthetized).

Radiofrequency Before to Surgical Removal of a Recalcitrant Morton´s Neuroma

Universidad de Extremadura

Doctor

Study title	NCT ID	Conditions	Interventions	Eligibility	Organization
Morton's Neuroma: Manipulation Versus Steroid Injection	NCT05707572	Morton Neuroma	methylprednisol... manual manipula...	18 Years -	Dundee Podiatry Clinic
Radiofrequency Before to Surgical Removal of a Recalcitrant Morton´s Neuroma	NCT05550831	Morton Neuroma Radriofrequency	Radiofrequency	18 Years - 70 Years	Universidad de Extremadura
Morton's Neuroma: Manipulation Versus Steroid Injection	NCT05707572	Morton Neuroma	methylprednisol... manual manipula...	18 Years -	Dundee Podiatry Clinic
Morton's Neuroma: Manipulation Versus Steroid Injection	NCT05707572	Morton Neuroma	methylprednisol... manual manipula...	18 Years -	Dundee Podiatry Clinic
Morton's Neuroma: Manipulation Versus Steroid Injection	NCT05707572	Morton Neuroma	methylprednisol... manual manipula...	18 Years -	Dundee Podiatry Clinic

Spots Global Cancer Trial Database for foot

Every month we try and update this database with for foot cancer trials from around the world to help patients and their families find trials that might be right for them.
We offer this 100% free of charge and do not endorse any of the trials listed here, we hope it helps you or a loved one.

Spots Global Cancer Trial Database for foot

Every month we try and update this database with for foot cancer trials from around the world to help patients and their families find trials that might be right for them. We offer this 100% free of charge and do not endorse any of the trials listed here, we hope it helps you or a loved one.

Every month we try and update this database with for foot cancer trials from around the world to help patients and their families find trials that might be right for them.
We offer this 100% free of charge and do not endorse any of the trials listed here, we hope it helps you or a loved one.