Morton’s Neuroma – Surgical Treatment

Not Routinely Funded

Surgical referral for Morton’s neuroma is not routinely commissioned by Norfolk and Suffolk ICB, unless:

• The patient is currently suffering from pain which impacts on their daily life.

AND

• The patient has tried (without effect) conservative treatments which may include:
  • Careful selection of footwear.
  • A trial of nonsteroidal anti-inflammatory drugs (if appropriate).
  • Metatarsal pads.

If symptoms persist after trying 3 months of footwear modification and using metatarsal pads

THEN

Refer to an orthotist for a metatarsal dome orthotic.

If symptoms persist after a trial of the orthotic device (or referral to orthotics is unavailable locally)

THEN

Refer to a specialist surgeon for a surgical opinion.

The specialist surgeon may consider injections (e.g. corticosteroid), ablative therapy or surgical management.

https://cks.nice.org.uk/topics/mortons-neuroma/

Cases for Individual Funding Consideration

On a case-to-case basis, patients might be eligible for surgical intervention, in consideration of their exceptionality. The requesting clinician must provide information to support the case for being considered an exception, by submitting an individual funding request.