Morton’s Neuroma Treatment London — Ultrasound Guided Hydrodissection as an Alternative to Surgery
Morton’s neuroma — a painful thickening of the nerve tissue between the metatarsal bones, most commonly between the third and fourth toes — generates burning, shooting pain between the toes, the sensation of walking on a pebble and numbness in the affected toes. The standard treatment pathway — steroid injections, alcohol sclerosing injections, surgery — leaves many patients without lasting relief.
At Proback Clinic in Victoria, London, we offer ultrasound guided Hydrodissection as a non-surgical alternative for Morton’s neuroma — addressing the mechanical entrapment and neurogenic inflammation directly without the risks associated with surgical neuroma excision.
Why Morton’s Neuroma Responds Poorly to Conventional Treatment
A Morton’s neuroma is a perineural fibrosis — a thickening of the tissue surrounding the interdigital nerve as a result of chronic compression between the metatarsal heads. Steroid injections reduce the inflammation around the nerve temporarily but do not release the fibrotic tissue compressing it. Alcohol sclerosing injections attempt to destroy the nerve — carrying a significant risk of permanent nerve damage and persistent stump pain. Surgery to excise the neuroma carries risks including scar tissue formation, permanent numbness and recurrence.
How Hydrodissection Treats the Neuroma
We visualise the interdigital nerve under live SonoSite ultrasound imaging — identifying precisely where the perineural fibrosis is occurring. A natural 5% dextrose and B12 solution is injected precisely around the nerve. The fluid pressure gently separates the fibrotic tissue compressing the nerve, the dextrose delivers a direct anti-inflammatory effect at the nerve interface and the B12 supports nerve tissue repair. The precision of live ultrasound guidance is essential — the interdigital nerve is a small structure and the solution must be placed exactly at the point of entrapment.
Neuro Prolotherapy for the Hypersensitised Nerve Pathway
Where the interdigital nerve has been compressed for a significant period it becomes chronically sensitised. Even after mechanical release through Hydrodissection, the sensitised pathway may continue generating burning and shooting pain until the neurogenic inflammation is addressed. Neuro Prolotherapy — precise subcutaneous micro injections along the superficial nerve pathway — calms this sensitisation and restores more normal nerve signalling.
Pricing
Initial consultation £110 — reduced from £270. Treatment: first area £275 per session, each additional area £85. 15% discount when prepaying for a full course upfront.
Frequently Asked Questions
What is the best non-surgical treatment for Morton’s neuroma in London?
Ultrasound guided Hydrodissection with 5% dextrose and B12 is the most targeted non-surgical treatment for Morton’s neuroma. It mechanically releases the perineural fibrosis compressing the nerve under live imaging guidance, reducing pain and restoring normal nerve function without surgery. Combined with Neuro Prolotherapy for the sensitisation component it produces the most comprehensive results.
Can Morton’s neuroma be treated without surgery?
Yes — many Morton’s neuroma cases can be successfully treated without surgery using ultrasound guided Hydrodissection. Surgery to excise the neuroma should be a last resort given the risks of scar tissue, permanent numbness and recurrence. We always recommend trying non-surgical approaches first.
How many Hydrodissection sessions are needed for Morton’s neuroma?
Most patients require between two and four Hydrodissection sessions. Results are progressive — each session adds to the cumulative effect as the nerve is freed from its entrapment and the neurogenic inflammation reduces.
Is Morton’s neuroma the same as a trapped nerve in the foot?
Morton’s neuroma involves compression and thickening of the tissue around the interdigital nerve rather than a true nerve entrapment — but the symptoms are similar and the treatment approach using Hydrodissection is directly relevant for both presentations.
What does Morton’s neuroma feel like?
Morton’s neuroma typically causes burning, shooting or electric pain between the toes — most commonly between the third and fourth toes. Many patients describe the sensation of walking on a pebble or a fold in their sock. Numbness and tingling in the affected toes are also common, and the pain often worsens with tight footwear and prolonged standing.
How much does Morton’s neuroma treatment cost in London?
Our initial consultation is £110 reduced from £270 and includes a clinical examination and ultrasound assessment. Treatment is £275 for the first area and £85 for each additional area per session. 15% discount when prepaying for a full course upfront.
Give us a call on 0207 976 6648 or email victoria@proback.co.uk.
Proback Clinic, 4 Evelyn Mansions, Carlisle Place, Victoria, London SW1P 1NH. Five minutes from Victoria station.
