Morton’s neuroma is a common foot condition characterized by pain and discomfort, often stemming from a pinched nerve in the ball of the foot. This thickening of nerve tissue, while not a tumor, can feel like walking on a marble. Cortisone injections are a frequently employed treatment to reduce the inflammation associated with this condition. This article explores the pain associated with a cortisone shot for Morton’s neuroma, from injection through recovery, and offers strategies for managing discomfort.
Pain Sensation During the Procedure
During the cortisone shot procedure, individuals typically experience a sharp pinch or sting as the needle enters the skin. This initial sensation is brief, usually lasting only a few seconds. A feeling of pressure or fullness often follows as the cortisone solution, frequently combined with a local anesthetic like lidocaine, is injected into the affected area.
The local anesthetic works quickly to numb the area, reducing the pain of the injection. While individual pain tolerance varies, most describe the sensation as tolerable, comparable to a quick bee sting or a blood draw. Ultrasound guidance can also increase injection accuracy, potentially reducing discomfort.
Post-Injection Discomfort and Recovery
Following a cortisone injection, it is common to experience soreness, aching, or bruising at the injection site. This discomfort is normal and typically subsides within a few hours to a couple of days. Some individuals may experience a “cortisone flare,” a temporary increase in pain around the injection site, usually occurring within the first 48 hours.
This flare is caused by the slow-release crystals of the corticosteroid irritating the tissue before anti-inflammatory effects begin. It usually resolves as the cortisone starts to work, which can take a few days. While mild discomfort is expected, any severe, worsening pain, significant redness, swelling, or fever lasting more than 48 hours could indicate an infection and requires immediate medical attention.
Managing Discomfort and Preparing for the Shot
Preparing for a cortisone shot involves communicating any anxieties with your healthcare provider and discussing local anesthetic options. During the procedure, focusing on relaxation and distraction techniques can help manage discomfort. The actual injection typically takes only a few minutes.
After the shot, applying ice to the injection site for 15-20 minutes at a time can help alleviate pain and swelling. Over-the-counter pain relievers, such as acetaminophen, may be used if approved by your doctor. It is advisable to rest the foot and avoid strenuous activities for at least 24-48 hours post-injection to allow the medication to work effectively and minimize complications.
Understanding Treatment Goals and Other Options
The primary goal of a cortisone shot for Morton’s neuroma is to reduce inflammation around the affected nerve, alleviating pain and symptoms. Relief from neuroma pain can last from weeks to several months.
Cortisone shots are part of a broader treatment approach for Morton’s neuroma. Other non-surgical treatments include proper footwear with wide toe boxes, orthotics or shoe pads, and physical therapy. If conservative treatments do not provide sufficient relief, surgical options may be considered.