The efficacy of manipulation and mobilization in the treatment of Morton's neuroma

Abstract

The purpose of this randomised, placebo-controlled clinical trial was to investigate the efficacy of foot and ankle manipulation and mobilization as opposed to a placebo treatment (de-tuned ultrasound), in terms of objective and subjective findings in the treatment of Morton's neuroma. This clinical trial consisted of two groups, each with twenty patients. Patients who were diagnosed by the researcher as suffering from Morton's neuroma were included in the study. The patients were randomly allocated into the respective groups. The ages of the patients ranged from 23 to 79 years old. Group A received the de-tuned ultrasound as the placebo treatment and Group B received foot and ankle manipulation and mobilization as well as the de-tuned ultrasound to eliminate any massage effect that may have been incurred. It was hypothesised that foot and ankle manipulation and mobilization would be effective in the treatment of Morton's neuroma. The treatment protocol consisted of a course of six treatments over a treatment period of three weeks. Subjective and objective measurements were taken at the initial, third and final consultations. Subjective data was obtained via the use of the Numerical Rating Scale 101, the Short-form McGill Pain Questionnaire and the Foot Function Index. Objective data was obtained by means of digital algometer measurements