11/15/2005    Barrett Sachs, DPM

Bilateral Plantar Metatarsal Pain (Barry Mullen, DPM)

RE: Bilateral Plantar Metatarsal Pain (Barry
Mullen, DPM)

I agree with Dr. Mullen, however don't ever rely
strictly on MRI results to be positive for a
neuroma. Even though radiologists swear they
can see them on MRI, I have excised many
neuromas where the MRI is negative. Rely on
clinical findings and be a good historian. You
may want to consider a novacaine/steroid
injection for diagnostic purposes as sometimes
even the slightest bit a relief points towards a
neuroma,

Barrett Sachs, DPM, Plantation, FL,
Uncletenose@aol.com

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