64455 Injection(s), anesthetic agent(s) and/or steroid; plantar common digital nerve(s) (eg, Morton's neuroma)

Name of the Procedure:

Injection(s), anesthetic agent(s) and/or steroid; plantar common digital nerve(s) (e.g., Morton's neuroma).

Summary

This procedure involves injecting anesthetic agents or steroids into the plantar common digital nerve, commonly known as Morton's neuroma, to relieve pain and inflammation.

Purpose

The procedure aims to alleviate pain and discomfort caused by Morton's neuroma, a condition where a nerve in the foot becomes thickened and inflamed. The expected outcome is pain relief and improved mobility.

Indications

• Persistent pain in the ball of the foot.
• Burning, tingling, or numbness in the toes.
• Pain that worsens with activity and improves with rest.
• Patient doesn't respond to conservative treatments like orthotics or physical therapy.

Preparation

• No specific fasting required, but follow doctor's instructions about eating and drinking.
• Adjust or pause certain medications as advised by your healthcare provider.
• Ensure all diagnostic tests, such as ultrasound or MRI, are completed to confirm the diagnosis.

Procedure Description

1. The patient is positioned comfortably, and the foot is sterilized to prevent infection.
2. Local anesthesia may be administered to numb the area.
3. Using ultrasound guidance, a needle is carefully inserted into the affected area.
4. The anesthetic or steroid solution is injected into the plantar common digital nerve.
5. The needle is removed, and a small bandage is applied to the injection site.

Tools/Equipment Used:

• Sterile syringe and needle.
• Ultrasound machine for guidance.
• Anesthetic and/or steroid medication.

Anesthesia/Sedation:

• Local anesthesia to numb the area.
• Sedation is generally not required.

Duration

The procedure typically takes about 15-30 minutes.

Setting

This procedure is usually performed in an outpatient clinic or a medical office.

Personnel

• A podiatrist or orthopedic specialist conducts the procedure.
• A nurse or medical assistant may assist.

Risks and Complications

• Infection at the injection site.
• Bleeding or bruising.
• Temporary increase in pain or numbness.
• Rarely, damage to nearby nerves or tissues.
• Allergic reaction to medication.

Benefits

• Immediate pain relief, often noticeable within a few days.
• Reduced inflammation and swelling.
• Improved foot function and mobility.
• Non-surgical option with minimal downtime.

Recovery

• Rest the foot and avoid strenuous activities for 24-48 hours.
• Apply ice to the injection site to reduce swelling.
• Follow-up appointments may be needed to assess progress.
• Full recovery typically takes a few days, but varies by individual.

Alternatives

• Physical therapy and exercises.
• Custom orthotic devices.
• Oral anti-inflammatory medications.
• Surgical intervention if conservative treatments fail.

Patient Experience

During the procedure, patients may feel a slight pinch or pressure when the needle is inserted. Post-procedure, some soreness at the injection site is normal and can be managed with over-the-counter pain relievers. Most patients report significant pain relief within a few days.