TY - JOUR
T1 - Manipulation in the treatment of plantar digital neuralgia
T2 - a retrospective study of 38 cases
AU - Cashley, David G.
AU - Cochrane, Lynda
PY - 2015/6
Y1 - 2015/6
N2 - Objective: The purpose of this retrospective case series is to describe treatment outcomes for patients with plantar digital neuralgia (PDN) (Morton's neuroma) who were treated using foot manipulation. Methods: Charts were reviewed retrospectively for patients with a diagnosis of PDN and who received a minimum of 6 treatments consisting of manipulation alone. Visual analogue pain scales (VAS) and pressure threshold meter readings (PTM) were extracted as outcome measures. Results: Thirty-eight cases met inclusion criteria. Mean pretreatment duration of pain was 28 months. Mean pretreatment VAS was 69.5/100 mm. Mean pretreatment PTM was 2.54 Kp. By the sixth treatment, 30 (79%) of the 38 patients scored a VAS of 0 mm and a further 4 (10%) were below 10 mm. Contralateral limb PTM showed a mean pre-treatment score of 5.5 Kp, which rose slightly to 5.85 Kp. This compared to a pre-treatment score of 2.54 Kp rising to 5.86 Kp in the affected limb. This represents a 126% increase in the affected side compared to 6.5% in the unaffected limb. Statistical analysis demonstrated a significant linear trend between decreasing VAS and manipulation (. P < .001). Conclusion: The patients with PDN who were included in this case series improved with conservative care that included only foot manipulation.
AB - Objective: The purpose of this retrospective case series is to describe treatment outcomes for patients with plantar digital neuralgia (PDN) (Morton's neuroma) who were treated using foot manipulation. Methods: Charts were reviewed retrospectively for patients with a diagnosis of PDN and who received a minimum of 6 treatments consisting of manipulation alone. Visual analogue pain scales (VAS) and pressure threshold meter readings (PTM) were extracted as outcome measures. Results: Thirty-eight cases met inclusion criteria. Mean pretreatment duration of pain was 28 months. Mean pretreatment VAS was 69.5/100 mm. Mean pretreatment PTM was 2.54 Kp. By the sixth treatment, 30 (79%) of the 38 patients scored a VAS of 0 mm and a further 4 (10%) were below 10 mm. Contralateral limb PTM showed a mean pre-treatment score of 5.5 Kp, which rose slightly to 5.85 Kp. This compared to a pre-treatment score of 2.54 Kp rising to 5.86 Kp in the affected limb. This represents a 126% increase in the affected side compared to 6.5% in the unaffected limb. Statistical analysis demonstrated a significant linear trend between decreasing VAS and manipulation (. P < .001). Conclusion: The patients with PDN who were included in this case series improved with conservative care that included only foot manipulation.
KW - Foot
KW - Musculoskeletal manipulations
KW - Neuroma
UR - http://www.scopus.com/inward/record.url?scp=84937724878&partnerID=8YFLogxK
U2 - 10.1016/j.jcm.2015.04.003
DO - 10.1016/j.jcm.2015.04.003
M3 - Article
C2 - 26257593
AN - SCOPUS:84937724878
VL - 14
SP - 90
EP - 98
JO - Journal of Chiropractic Medicine
JF - Journal of Chiropractic Medicine
SN - 1556-3707
IS - 2
ER -