Morton s neuroma

The client with a Morton s neuroma in the right foot is being injected with bupiva-caine (Marcaine), a local anesthetic, along with hydrocortisone, a steroid. Which discharge instruction should the nurse discuss with the client ... 

The Morton s neuroma results in ischemia of the nerve, and exercise will not help the pathological changes nor the injection procedure. 

Morton s neuroma is a plantar digital neuroma of the third branch of the median plantar nerve on the foot resulting in a burning pain of the foot. The injection relieves the burning and pain, but it does cause edema and pain at the injection site. Elevating the foot and applying ice will address the acute discomfort associated vrith the injection. 

This new injectable preparation Adlea (formerly named ALRGX 4975 98% Pure) employs purified capsaicin in very high concentration. In October 2006 the FDA granted orphan drug status for Adlea for the treatment of pain related to interdigital neuroma (Morton s neuroma). 

Quinn TJ, Jacobson JA, Craig JC, van Holsbeeck MT (2000) Sonography of Morton s neuromas. AJR Am J Roentgenol 174 1723-1728... 

Fanucci E, Masala S, Fabiano S et al (2004) Treatment of intermetatarsal Morton s neuroma with alcohol injection under US guide 10-month follow-up. Eur Radiol 14 514-518 Farin PU, Jaroma H, Soimakallio S (1995) Rotator cuff calcifications treatment with US-guided technique. Radiology 195 841-843... 

Toot problems. Any dysfunction of the foot may alter normal mechanics. These could include Morton s foot (neuroma), corns, calluses, bunions, hallux rigidus, plantar warts, or poorly fitting shoes, if plantar flexion is absent, there is no push-off and the heel and forefoot come off the floor together. 

Wu KK (1996) Morton s interdigital neuroma a clinical review of its etiology, treatment, and results. J Foot Ankle Surg 35 112-119... 

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