Morton's Neuroma in Laval | Non-Surgical Injectable Options

Introduction

When Morton's neuroma remains painful despite well-conducted conservative management, certain injectable options may be discussed to relieve pain and improve function, before considering a surgical approach.

At Clinique Podiatrique de l'Avenir, our podiatrists in Laval evaluate and discuss appropriate injectable options, using a progressive and individualized approach that complies with Quebec regulatory standards.

For full context (symptoms, differential diagnosis, orthotics), also see our Morton's Neuroma page.

When to Consider an Injectable Option?

An injectable option may be discussed when:

• The Morton's neuroma diagnosis is well established
• Orthotics, shoe adjustments and load modifications have been tried
• Pain remains limiting for walking or sports

Alcohol Sclerosing Injection

Principle

Alcohol sclerosing injection: A diluted alcohol solution injected around the nerve to selectively damage the painful nerve fibers, reducing their ability to transmit pain.

It is generally considered before a surgical approach.

Possible Indications

This option may be discussed when:

• The neuroma is clinically well localized and documented
• Conservative approaches have not provided sufficient relief
• A progressive non-surgical strategy is preferred

What to Expect

• Clinical localization of the painful interdigital space
• Injection performed in clinic, within a framed setting
• Follow-up assesses response; a series of sessions may be proposed when clinically appropriate
• Temporary local discomfort may occur after the session

Limits and Precautions

• This is not a guaranteed curative treatment
• Results vary from one person to another
• Rigorous patient selection is essential
• It does not replace biomechanical evaluation, orthotics or load modification
• Alternatives (continued conservative care, hyaluronic acid, PRP, surgery) are discussed case by case

Hyaluronic Acid

Principle

In certain clinical presentations, hyaluronic acid may be used to:

• Reduce local friction around the nerve
• Improve mechanical comfort in the forefoot
• Support surrounding tissues

When to Discuss It

Hyaluronic acid may be considered as a complementary approach when the local mechanical or inflammatory component remains limiting despite conservative care.

Learn more: hyaluronic acid in podiatry.

Limits

This approach aims at symptom relief and functional improvement. It does not by itself correct the underlying biomechanical cause.

PRP (Platelet-Rich Plasma)

Principle

PRP may be discussed in certain targeted situations, as a complementary biological modality, according to clinical evaluation and available data.

When to Discuss It

PRP may be considered when evaluation suggests interest in a complementary biological approach, after failure of or partial response to conservative measures.

Learn more: PRP treatment.

Limits

PRP is not indicated for every neuroma. The choice depends on the clinical profile, patient expectations and professional judgment.

How to Choose the Right Option?

The choice depends on:

• Type of pain (neuropathic vs mechanical)
• Duration and severity of symptoms
• Treatments already tried
• Patient profile and goals

Option	Clinical orientation (indicative)
Alcohol sclerosing injection	Well-documented localized neuropathic pain
Hyaluronic acid	Mechanical comfort / local friction
PRP	Targeted complementary biological modality

A complete podiatric evaluation is essential.

Surgery (Last Resort)

When injectable and conservative options do not provide sufficient relief, a surgical option may be discussed as a last resort.

Morton's Neuroma in Laval – Book an Appointment

Book an appointment with a podiatrist at Clinique Podiatrique de l'Avenir to discuss injectable options suited to your situation.