Cortisone injections may cause plantar plate rupture, which can results in the formation of a hammertoe. A steroid (cortisone) injection gives only temporary relief and may mask the pain, leading to further nerve damage. However, diagnostic injections of a local anesthetic are safe and may be very beneficial for proper diagnosis.
Endoscopic Decompression (a new surgical technique)
Endoscopic decompression of inter-metatarsal nerve is a new surgical technique developed by Dr. Barrett in 1994 to permanently correct neuroma pain in a less traumatic manner. This technique allows for a quicker recovery and a faster return to normal activity than traditional surgical techniques. Specially designed instrumentation is utilized that allows the surgeon to directly visualize the foot structures on a video screen through two small, less than ¼” incisions on the foot. The procedure is performed in an outpatient setting. Most patients can bear weight immediately after surgery and return to tennis shoes the day after surgery. Everyone heals differently. Factors such as age, weight, circulation, and occupation contribute to healing times.