Ultrasound Guided Platelet Rich Plasma and Radiofrequency Ablation for Morton’s

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We have had numerous request from folks who want to see how we perform our procedures. This is shortened video of Dr. Pearl, our Medical Director, performing an ultrasound guided:

  1. A Platelet Rich Plasma infusion under ultrasound guidence
  2. Radiofrequency Ablation under ultrasound guidance

You will see the various steps Dr. Pearl goes through as she performs these procedures for an out of state patient who has had a Morton’s neuroma surgery but continues to have significant post Morton’s neuroma surgery pain. This is her first ever procedure with us.

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Treated stump neuromas and treated post Morton’s neuroma surgery pain

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Matt is from California. He had 2 Morton’s neuromas surgically removed from 1 foot before he came to see us and was virtually unable to walk when he came to see us.

At The Center for Morton’s Neuroma, Matt had Ultrasound Guided Radiofrequency Ablations and Platelet Rich Plasma infusions is now very active again.

This is his short testimonial:

To see Matt’s full video testimonial (8 min:43 sec) CLICK HEREContinue Reading

Meet our Medical Director, Dr. Pearl

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We just added a video from our Medical Director, Janet D. Pearl, MD, MSc:

2 New Patient Testimonials Added

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We just added 2 more patient testimonials:

James’ Testimonial:

James is from Virginia and suffered for many years with for 2 Morton’s neruomas in the same foot. He had Ultrasound Guided Neurolytic Injections for his Morton’s neuromas. He had searched for 3 years all around Baltimore, Virginia and Washington DC for treatment for his debilitating Morton’s neuromas before coming to see us. Now her can enjoy all his previous activities.

This is a short except from his testimonial:

To hear James’ full testimonial (7 min:42 sec) CLICK HERE

 


Sonia’s Testimonial:

Sonia is from Texas and had bilateral Ultrasound Guided Neurolytic Injections.… Continue Reading

Poor footwear choice can cause more than foot pain, especially in summer

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Wearing the wrong footwear can lead to back, ankle and other problems. Athletes are not the only ones who need to be selective with their footwear.

“Shoes that are too tight, too loose or without enough support, can lead to unwanted stress on the feet, ankles, lower leg, hip and spine,” according to the American Academy of Orthopedic Surgeons. “This ongoing pressure can cause pain and injuries that may limit or prevent participation in work, sports and hobbies.”

  • Heel: Needs a “broad base” and be no longer than one-and-a-half inches
  • Sole: Should be cushioned and have “enough grip to prevent slipping”
  • Linings: Made of smooth, seam-free “breathable materials” to keep “the foot fresh”
  • Toe box: Enough room for “toes to wiggle” “Make sure there’s half an inch of space between your longest toe and the end of the shoe,” the Society further recommends.
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What causes metatarsophalangeal (MTP) joint pain?

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Joint-PainPain in the metatarsophalangeal joint or Metatarsalgia is a common musculoskeletal condition which is usually observed when abnormal foot biomechanics and long-standing stress deteriorates the anatomical balance of foot.

Almost all cases of metatarsal joint pain presents with localized pain, difficulty in walking or just difficulty in maintaining normal day-to-day activities. Patients also report tenderness along the top and bottom surfaces of the foot with limited range of joint motion. Some cases of metatarsophalangeal joint pain are also associated with callus formation underneath the joint surface.

The most common presentation is symptoms of sub-acute or chronic joint inflammation (such as localized warmth, swelling and pain) along with rigidity along the top and bottoml aspects of foot.… Continue Reading

Contributing factors leading to Morton’s neuroma

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Anatomical abnormalities and structural issues of foot can aggravate the risk of developing Morton’s neuroma.

For example, laxity/ weakness of intermetatarsal ligament is often a contributing factor that leads to compression injury of the nerve fibers in the region of third and fourth intermetatarsal space (or toes).

anatomy-of-the-footDeep Trans Liagament

 … Continue Reading

Radiofrequency Ablation for Mortons neuroma

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RF Ablation for Mortons neuromaA recent study in the Journal of Orthopedics(1) suggested that radiofrequency thermos-ablation is a practical and effective solution in patients with treatment resistant Morton neuromas. More than 88% patients reported complete resolution of symptoms without needing surgical intervention or other procedures.

Radiofrequency Ablation procedure involves the use of electric current in controlled doses to heat soft tissues surrounding the Morton’s neuroma. The intense heat generated as a result of radiofrequency probing allows selective destruction of pain transmitting nerve fibers to induce cell death, killing the nerve transmitting cells with only a minor effect on sensations.

(1) Paolo, R., Roberto, A., & Mihai, B.Continue Reading

Webinar – Morton’s neuroma Q and A

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Join our webinar TODAY where we will answer questions all about Morton’s neuroma. We will share how our Morton’s neuroma treatment program works and will answer frequently asked questions.

Morton's neuroma webinarWhen: Tuesday May 24, 2016 2:00 PM (GMT-4:00) Eastern Time (US and Canada)

Please click the link below to join the webinar:
https://zoom.us/j/491739204

Or iPhone one-tap: 16465588656,491739204# or 14086380968,491739204#

Or Telephone:
Dial: +1 646 558 8656 (US Toll) or +1 408 638 0968 (US Toll)

Webinar ID: 491 739 204
For international numbers:  Click here

 

The Webinar will be led by Wendy Williams, RWendy Williams RN-BSNN-BSN, M.Ed. who is our Patient Liaison here at the Center for Morton’s Neuroma.… Continue Reading

Morton’s neuroma surgery, stump neuroma and Wallerian degeneration

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Wallerian Degeneration

Nerve-cut
Wallerian Degeneration

Every time you cut a peripheral nerve you always generate specific biochemical response called a “Wallerian degeneration.

This reaction occurs every single time a nerve is cut. It is the body’s natural response to a cut nerve. In simple terms, Wallerian degeneration is a cascade of cell responses to the cut nerve that result in nerve regrowth. This nerve regrowth begins within 4 days after the nerve is cut. The normal physiological response of the body to a cut nerve in the foot is for the nerve to begin to regrow. In the case of a Morton’s neuroma removal (also known as a Morton’s neurectomy), this regrowth is the beginning of a stump neuroma.… Continue Reading

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