Document Detail

Extracorporeal shockwave therapy for interdigital neuroma: a randomized, placebo-controlled, double-blind trial.
MedLine Citation:
PMID:  19448168     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: We sought to evaluate the safety and effectiveness of extracorporeal shockwave therapy as a therapeutic treatment for destroying Morton's neuroma. METHODS: Twenty-five patients (25 feet) were included in the study. Indications for participation were more than 8 months of conservative care with a visual analog scale pain score of 4 or greater. The mean overall pain score on a modified visual analog scale was 6.9 preoperatively. RESULTS: Thirteen patients were randomized to the active group and 12 to the sham group. Two patients in the sham group were lost to follow-up. Post-treatment evaluations were performed at 1, 6, and 12 weeks by a blinded investigator (L.W.). The end point evaluation parameter was the reduction in visual analog scale score. The treatment group showed a significant difference before and after extracorporeal shockwave therapy (P < .0001). The sham group did not have a significant difference after 12 weeks (P = .1218). CONCLUSIONS: Extracorporeal shockwave therapy is a possible alternative to surgical excision for Morton's neuroma.
Robert Fridman; Jarrett D Cain; Lowell Weil
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Publication Detail:
Type:  Comparative Study; Journal Article; Randomized Controlled Trial    
Journal Detail:
Title:  Journal of the American Podiatric Medical Association     Volume:  99     ISSN:  8750-7315     ISO Abbreviation:  J Am Podiatr Med Assoc     Publication Date:    2009 May-Jun
Date Detail:
Created Date:  2009-05-18     Completed Date:  2009-09-01     Revised Date:  2009-09-29    
Medline Journal Info:
Nlm Unique ID:  8501423     Medline TA:  J Am Podiatr Med Assoc     Country:  United States    
Other Details:
Languages:  eng     Pagination:  191-3     Citation Subset:  IM    
Department of Orthopaedic Surgery, Columbia University Medical Center, New York, NY, USA.
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MeSH Terms
Double-Blind Method
Follow-Up Studies
Forefoot, Human*
High-Energy Shock Waves / therapeutic use*
Neuroma / diagnosis,  radiotherapy*
Treatment Outcome
Comment In:
J Am Podiatr Med Assoc. 2009 Sep-Oct;99(5):472; author reply 474   [PMID:  19767559 ]
J Am Podiatr Med Assoc. 2009 Sep-Oct;99(5):472-3; author reply 474   [PMID:  19767558 ]
J Am Podiatr Med Assoc. 2009 Sep-Oct;99(5):473; author reply 474   [PMID:  19767560 ]

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