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SCLEROTHERAPY
TREATMENT FOR NEUROMAS
Neuromas have traditionally been treated conservatively by padding the
area or injecting cortisone into the area. Cortisone shots sometimes
result in atrophy of the muscle or skin. An older treatment has come back
into vogue called sclerotherapy. It involves injecting dehydrated alcohol
into a neuroma, which causes chemical nerve degeneration over a series of
three to five injections. Compared to cortisone shots sclerotherapy has a
much better success rate of permanently resolving the pain associated with
neuromas. The injections also incorporate a local anesthetic that helps to
minimize any short-term discomfort after the procedure. Occasionally, a
rash may develop after an injection but this does not usually require
stopping the treatment. Given the chances of recurrence even after
surgical removal, sclerotherapy is a viable option.
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