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Morton's neuroma

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[#347]

Hi, my brother-in-law was just diagnosed with a Morton's neuroma on his great toe. He was told by the doctor at Kaiser, the neuroma could not be removed because it will affect his balance. About 8 years ago, he had a brain tumor removed and the result was a significant impact to his balance, so he can't do any more balance impairments. He is in a lot of pain. Can I needle him for the pain? I would appreciate direction. Thank you.   doris


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Hi Doris, I have needled for Morton's neuroma pains in the past. Is there something that you are concerned about in particular with needling him that would be a contraindication or precaution? 


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No concerns; however, I'm new to dry needling so a question as to where to needle. Since it's his great toe, I was thinking of the Saphenous and deep fibular. Is this where you would needle? 


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Joined: 7 years ago

Hi Doris,

I understand your concern to not make it worse but with the IDN approach you have several approaches to take. I would first start needling in the calf down the common fibular and tibial nerve distributions.  I am not sure if you are advanced trained or not but that way you can get effect on the neuroma proximally and not have to disturb the neuroma locally which sounds like is your concern.  As he does fine with that move distally toward the great toe and use 1/2" needles moving down the digital nerves in the foot.  This is slow progressive way to get anti-inflammatory effects safely.  

Hope that helps

Frank


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I am only trained, not certified. Thank you for this instruction. It's much appreciated!

doris


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