Arlington Foot & Ankle Center

Ben Pearl, D.P.M., F.A.C.F.A.S.

N.I.H. Consultant

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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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