Morton's Neuroma: Manipulation Versus Steroid Injection
Status:
Unknown status
Trial end date:
2017-04-01
Target enrollment:
Participant gender:
Summary
The aim of this study is to establish which of two treatment options is the preferred
intervention in the treatment of Morton's Neuroma.
A randomised controlled trial shall be performed. Steroid injection is the current gold
standard conservative treatment for this condition. Therefore, manipulation shall be compared
to a control group receiving a steroid injection in an equality randomised controlled trial.
Outcomes will be compared using visual analogue pain scales (VAS), The Manchester-Oxford Foot
Questionnaire (MOXFQ), The Foot and Ankle Ability Measure (FAAM), the SF-36 quality of life
questionnaire and algometric pressure threshold testing. An improvement in either groups' VAS
of 20mm above the other 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.
There is limited research evidence to support the management of Morton's neuroma with steroid
injection although its efficacy has only been demonstrated in the short term.