Low Level Laser Therapy for Morton’s neuroma
What is Low Level Laser Therapy?
Low level laser therapy is a relatively new technology that is being used to manage the joint and connective tissue pain. Due to low intensity of light radiations, the technique is also referred to as ‘Cold Laser’ as opposed to hot laser that is mainly use in surgical practice to excise/ cut biological tissues.
How effective is low level laser therapy for Morton’s Neuroma?
In another study reported in the Australian Journal of Physiotherapy (3), in which investigators evaluated the findings of 88 randomized controlled trials, investigators concluded that the response to Low Level Laser Therapy is marginal and highly variable.
This is mainly because, unlike any other form of tissue damage or injury, Morton’s neuroma is an entrapment neuropathy that involves degeneration and fibrosis of interdigital nerve due to poor foot dynamics (such as inadequate choice of footwear, unhealthy lifestyle and gear choices etc.) The pathophysiology of Morton’s neuroma is highly complex and involves several types and layers of connective tissue. Therefore, it is more logical to opt for more sophisticated and practical treatment options like:
- Conservative therapy (this involves lifestyle modification, change of gear/ shoes, orthotics/ insoles).
- Ultrasound guided corticosteroid injections.
- Ultrasound guided Neurolytic Injections
- Ultrasound-guided radiofrequency ablation.
- Ultrasound guided Cryotherapy Ablation also referred to as Cryosurgery.
- Ultrasound guided Plasma Rich Platelet Injections
Speak to your doctor to learn what treatment options are best for you.
- Ha’Eri, G. B., Fornasier, V. L., & Schatzker, J. (1979). Morton’s neuroma-pathogenesis and ultrastructure. Clinical orthopaedics and related research, 141, 256-259.
- Posten, W., Wrone, D. A., Dover, J. S., Arndt, K. A., Silapunt, S., & Alam, M. (2005). Low‐level laser therapy for wound healing: mechanism and efficacy. Dermatologic surgery, 31(3), 334-340.
- Bjordal, J. M., Couppé, C., Chow, R. T., Tunér, J., & Ljunggren, E. A. (2003). A systematic review of low level laser therapy with location-specific doses for pain from chronic joint disorders. Australian Journal of Physiotherapy, 49(2), 107-116.
- Hopkins, J. T., McLoda, T. A., Seegmiller, J. G., & Baxter, G. D. (2004). Low-level laser therapy facilitates superficial wound healing in humans: a triple-blind, sham-controlled study. Journal of athletic training, 39(3), 223.