New York State Medical Treatment Guidelines for Foot Neuroma in workers compensation patients

The guidelines crafted by the New York State workers’ compensation board are designed to aid doctors, podiatrists, and healthcare providers in offering the right treatment for Foot Neuroma.

Healthcare professionals can turn to these guidelines from the Workers’ Compensation Board for insights on determining the right level of care for patients dealing with ankle and foot issues.

It’s crucial to note that these guidelines aren’t a replacement for a healthcare provider’s clinical judgment or professional know-how. The final call on care should be a collaborative decision between the patient and their healthcare provider.


Foot Neuroma (Morton’s Neuroma)

A common type of nerve pain that often affects the spaces between the toes, usually the third toe, is known as Morton’s neuroma. When someone has Morton’s neuroma, the pain can be really intense, making it difficult for them to walk or put pressure on their foot because they’re worried about causing more harm.

This condition is linked to a problem with the plantar digital nerve, which divides at the base of the toes to supply the sides of the toes. Various methods have been used to treat Morton’s neuroma, including NSAIDs, corticosteroid injections, ablative techniques, and surgery.

The key to diagnosing Morton’s neuroma is a thorough examination of the patient’s history and a physical exam. This diagnostic process is considered crucial and usually doesn’t necessitate additional tests.


Treatment for Foot Neuroma (Morton’s Neuroma)

Using Extracorporeal Shockwave Therapy is not advised for dealing with Morton’s Neuroma.

Employing Manipulation or Mobilization of the Distal Lower Extremity as a treatment for Morton’s Neuroma is not recommended.


Injection Therapy for Foot Neuroma (Morton’s Neuroma)

For specific cases of Morton’s Neuroma, it is suggested to consider Glucocorticosteroid Injections. This recommendation applies particularly when there is significant and fluctuating pain, issues with different shoe wear, and when orthotics fail to manage symptoms adequately.

The rationale behind this recommendation is to attempt an intervention to reduce symptoms before considering surgery, with a maximum of three injections. However, continuous injections are not advisable.

As for Sclerosant Injections for Morton’s Neuroma, it is not recommended for addressing Morton’s Neuroma.


Surgery for Foot Neuroma (Morton’s Neuroma)

Consider Ablation as a recommended option for addressing Morton’s Neuroma.

This recommendation is applicable in specific cases where pain persists, despite wear and tear on shoes, the use of orthotics, and ineffective glucocorticoid injections.

For cases where pain and debility are substantial, and traditional measures like changing shoe wear, orthotics, and glucocorticoid injections prove insufficient, Surgical Excision and/or Decompression for Morton’s Neuroma is recommended.

The rationale behind these recommendations is that, in certain situations, ablative techniques or surgery become necessary when pain persists, and conventional methods fail to adequately control symptoms.


Other for Foot Neuroma (Morton’s Neuroma)

Consider making Changes in Shoewear as part of the recommended approach for addressing Morton’s Neuroma.

In general, it is advisable for all patients to opt for footwear with sturdy bottoms, spacious toe boxes, moderate heels, and soft inserts.

When it comes to treating Morton’s Neuroma, the use of Orthotics is recommended.

Additionally, for dealing with Morton’s Neuroma, it is suggested to use Metatarsal Pads.

The rationale behind these recommendations is that, in the absence of orthotics, using a metatarsal pad is advised as part of the treatment strategy.


What our office can do if you have Foot Neuroma due to workers compensation injuries

We bring our expertise to assist you with your workers’ compensation injuries. We empathize with the challenges you’re facing and are committed to addressing your medical needs while adhering to the guidelines established by the New York State Workers Compensation Board.

Recognizing the significance of your workers’ compensation cases, we’re here to guide you through the complexities of dealing with the insurance company and your employer.

We acknowledge that this is a stressful period for you and your family. If you’d like to set up an appointment, please reach out to us. We’re dedicated to making the process as smooth as possible for you, doing everything we can to support you.

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