Combining Pulsed and Conventional Radiofrequency Ablation for Resistant Morton’s Neuroma: A Case Report and Literature Review

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AuthorKarim Hematien
AuthorSajede Salehien
AuthorParnian Hematien
OrcidKarim Hemati [0000-0003-0893-5102]en
OrcidSajede Salehi [0000-0003-2361-098X]en
OrcidParnian Hemati [0009-0006-2180-611X]en
Issued Date2025-06-30en
AbstractIntroduction: Morton's neuroma is a painful, degenerative neuropathy that is initially managed with conservative treatments. In refractory cases, surgical excision is typically indicated. Minimally invasive percutaneous procedures provide a viable alternative to surgery. Objective: While both pulsed radiofrequency (PRF) and conventional radiofrequency (CRF) have been individually reported as effective treatments for Morton’s neuroma, we aim to utilize a combination of PRF and CRF for pain management. Case Presentation: We report the case of a 61-year-old male with a five-year history of right foot Morton’s neuroma, presenting with severe pain that was refractory to conservative management, including multiple corticosteroid injections. Radiofrequency was performed as follows: 5 minutes at 42°C, 1 minute at 60°C, and 1 minute at 70°C. Result: The patient experienced significant pain relief, with follow-up Numerical Rating Scale (NRS) of 1 at two weeks, 1 at one month, and 2 at seven months post-treatment. Conclusions: This case suggests that the combined application of PRF and CRF may serve as a promising alternative for managing refractory Morton’s neuroma.en
DOIhttps://doi.org/10.5812/aapm-161482en
KeywordCase Reporten
KeywordConventional Radiofrequencyen
KeywordFore-foot Painen
KeywordMorton’s Neuromaen
KeywordNeuropathyen
KeywordPulsed Radiofrequencyen
PublisherBrieflandsen
TitleCombining Pulsed and Conventional Radiofrequency Ablation for Resistant Morton’s Neuroma: A Case Report and Literature Reviewen
TypeCase Reporten

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