Extracorporeal shockwave therapy for interdigital neuroma

Background: We sought to evaluate the safety and effectiveness of extracorporeal shock-wave therapy as a therapeutic treatment for destroying Morton's neuroma. Methods: Twenty-five patients (25 feet) were included in the study. Indications for participation were more than 8 months of conservative care with a visual analog scale pain score of 4 or greater. The mean overall pain score on a modified visual analog scale was 6.9 pre-operatively. Results: Thirteen patients were randomized to the active group and 12 to the sham group. Two patients in the sham group were lost to follow-up. Post-treatment evaluations were performed at 1, 6, and 12 weeks by a blinded investigator (L.W.). The end point evaluation parameter was the reduction in visual analog scale score. The treatment group showed a significant difference before and after extracorporeal Shockwave therapy (P< .0001). The sham group did not have a significant difference after 12 weeks (P= .1218). Conclusions: Extracorporeal Shockwave therapy is a possible alternative to surgical excision for Morton's neuroma.