Alcohol Neurolysis of Digital Nerves

Walker, Emily L.; Wright, G.; Burnett, Christopher

doi:10.1080/08998280.2016.11929459

Cited by 4 publications

(4 citation statements)

References 7 publications

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“…18 Although it is well reported that corticosteroid injections may lead to dorsal skin hypopigmentation, skin atrophy and plantar fat pad atrophy, no similar complications are recorded in treating MN with alcohol sclerosing injections. [19][20][21][22] Skin necrosis and subcutaneous cellulitis were only described in a case report treating chronic toe neuritis with a 3 ml solution of 1% lidocaine with 98% dehydrated alcohol. There is not a note of correlation between the severity of the complications and the concentration of alcohol injected in this study (47.5%) or the literature (4%-50%).…”

Section: Discussionmentioning

confidence: 99%

Complications of alcohol injections for Morton’s neuroma

Ortu¹,

Fiori

Bagnoli³

et al. 2022

Journal of Orthopaedics, Trauma and Rehabilitation

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Introduction Morton’s neuroma (MN) is a neuropathic metatarsalgia that causes pain in the plantar aspect of the forefoot generally between the third and fourth metatarsal heads. Treatment can be nonoperative or surgical. Among nonoperative procedures, alcohol injections are still commonly used as considered simple, relatively safe and well-tolerated treatment. However, they present transient and minor complications. Methods Two hundred patients with a diagnosis of MN underwent ultrasound-guided injections with a 47.5% alcohol solution between 2013 and 2020. We reviewed the current literature to highlight the known complications of this treatment, comparing them to the complications developed by our patients. Results Three patients out of 200 patients, developed necrosis of skin and subcutaneous tissue not described in previous studies about MN. Conclusions Our study focuses attention on the complications subsequent to the alcohol injection therapy for MN. Patients and surgeons should be aware that in a small number of cases this therapy can be burdened by necrotic complications of the skin.

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Section: Discussionmentioning

confidence: 99%

Complications of alcohol injections for Morton’s neuroma

Ortu¹,

Fiori

Bagnoli³

et al. 2022

Journal of Orthopaedics, Trauma and Rehabilitation

View full text Add to dashboard Cite

show abstract

“…26 Due to the pain being refractory to other methods, and the patient desiring long lasting relief from pain, the patient's left sartorius muscle was injected with 30 mL of 70% isopropyl. 26 The muscle stopped spasming almost immediately after the injection. Two weeks following the injection, the patient noted he still experienced a "tiny wiggle" of the muscle but overall, he felt that his symptoms were almost entirely resolved.…”

Section: Case Presentationmentioning

confidence: 99%

“…Seven weeks post-operatively the patient returned to clinic with continued spastic movements of the stump. Management therapies were discussed, including injection of Botox or isopropyl alcohol as these have been shown to treat chronic pain conditions as well as spasticity 26 . Due to the pain being refractory to other methods, and the patient desiring long lasting relief from pain, the patient’s left sartorius muscle was injected with 30 mL of 70% isopropyl 26 .…”

Section: Case Presentationmentioning

confidence: 99%

“…Management therapies were discussed, including injection of Botox or isopropyl alcohol as these have been shown to treat chronic pain conditions as well as spasticity 26 . Due to the pain being refractory to other methods, and the patient desiring long lasting relief from pain, the patient’s left sartorius muscle was injected with 30 mL of 70% isopropyl 26 . The muscle stopped spasming almost immediately after the injection.…”

Section: Case Presentationmentioning

confidence: 99%

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