Coastal Podiatry Foot & Ankle Therapy Centre

Case Study: Journey Beyond Pain: Triumph Over Morton’s Neuroma with Neural Prolotherapy

Introduction to Morton’s Neuroma and the Patient’s Predicament: 

Morton’s Neuroma, a condition characterised by the thickening of the nerve tissue between the toes, typically the third and fourth, can be a source of significant foot pain. Symptoms often include a sharp, burning pain in the ball of the foot, sensations of standing on a pebble, and numbness or tingling in the toes. The condition usually arises from irritation, pressure, or injury, often exacerbated by tight or high-heeled shoes that compress the toes together. 

Emma, a 42-year-old avid hiker and graphic designer, experienced these symptoms first-hand. Her passion for exploring rugged terrains was halted by a diagnosis of Morton’s Neuroma in her right foot. Emma’s pain, initially intermittent, became a constant companion, hindering not only her hiking adventures but also her ability to stand for extended periods—crucial for her profession. 

The Visual Analogue Scale (VAS) Pre-Treatment: 

Before treatment, Emma rated her pain as 8 out of 10 on the Visual Analogue Scale (VAS), with episodes spiking to an almost unbearable 9 during hikes or after long periods of standing. 

Introduction to Neural Prolotherapy: 

After several months of conservative treatments with little to no improvement, Emma was introduced to Neural Prolotherapy (NPT), a regenerative injection therapy targeting the nerves affected by Morton’s Neuroma. NPT, often comprising a dextrose solution injected near the site of nerve irritation, aims to reduce inflammation and promote healing of the nerve sheath. 

Emma’s Treatment Journey: 

Emma underwent a series of Neural Prolotherapy sessions. Initially, she noticed a 40% reduction in pain after the first treatment. The therapy, focusing on the area around the affected nerve, offered her a minimally invasive option to address the source of her discomfort directly. 

Post-Treatment Outcomes: 

The results were nothing short of transformative. After completing her NPT protocol, Emma’s VAS scores dramatically improved, with her pain level decreasing to a manageable 2 out of 10. The sharp, burning sensations that once plagued her daily life had significantly subsided, allowing her to return to her hiking trails and stand for hours without the dread of impending pain. 

Life After Neural Prolotherapy: 

The impact of Neural Prolotherapy on Emma’s life extended beyond pain relief. With her newfound freedom from pain, Emma embarked on a hiking expedition she had postponed for years. Professionally, she could pursue her graphic design projects with renewed energy, no longer constrained by the need to take frequent breaks. 

Reflecting on the Journey: 

Emma’s story is a testament to the effects of Neural Prolotherapy in providing a lifeline to those suffering from Morton’s Neuroma. It highlights not just the physical relief from pain but also the emotional and psychological rejuvenation that comes from reclaiming one’s passions and livelihood. 


Emma’s case illustrates the transformative power of Neural Prolotherapy in treating Morton’s Neuroma, turning her journey of chronic pain into one of recovery and resilience. Her experience offers hope to others navigating the challenges of this condition, showcasing the possibility of returning to an active, fulfilling life. 

Note: This blog post is intended for informational purposes only and should not be taken as medical advice. Consult a healthcare provider to discuss treatment options suitable for your specific condition. 

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About The Author

Dr Peter Shelton

Dr Peter Shelton BSc Hons. is an Accredited Podiatrist based in the Sunshine Coast, Queensland, Australia.

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