Tackling Neuroma Pain with Compounded Ethyl Alcohol & Bupivacaine Injection

Neuromas, particularly Morton’s neuroma, can significantly impact foot health, causing intense pain and discomfort, primarily in the ball of the foot.

“Morton’s neuroma involves a thickening of the tissue around one of the nerves leading to your toes. This can cause a sharp, burning pain in the ball of your foot. You may have stinging, burning or numbness in the affected toes.”

Source: Mayo Clinic

Traditional care plans often include changes in footwear, physical therapy, and standard pain medications, which may not always provide relief. For those seeking a more direct approach, injections containing ethyl alcohol and bupivacaine have been prescribed more and more by podiatrists.

Understanding Neuroma and Injection Therapy A neuroma typically develops due to irritation, pressure, or injury, leading to thickened nerve tissue. Podiatrists often address these painful conditions with injections that contain different drug combinations. 

Ethyl alcohol, used in the injection, helps sclerose or degenerate the nerve, decreasing its ability to transmit pain signals. 

Bupivacaine, a local anesthetic, provides immediate pain relief by numbing the affected area.

“Bupivacaine injection causes a loss of feeling and prevents pain by blocking signals at the nerve endings.”

Source: Mayo Clinic

At Health Dimensions Clinical Pharmacy (HDRx), our pharmacists collaborate with podiatrists to compound precise doses of ethyl alcohol and bupivacaine that specifically target the patient’s pain and anatomical needs. This personalized medication approach not only aims to alleviate pain but seeks to reduce the need for more invasive procedures like surgery.

Procedure and What to Expect

A podiatrist carefully injects a mixture of ethyl alcohol and bupivacaine directly into the site of the neuroma. Patients typically experience immediate pain relief from bupivacaine, while the ethyl alcohol works over time to decrease the nerve’s size and pain output. Multiple sessions may be necessary to achieve optimal results, and the procedure is generally well-tolerated with minimal downtime.

Why Patients Fill Injection Rxs from a PCAB Accredited Sterile Compounding Pharmacy?

Sterile compounding is a critical pharmacy service that ensures medications are prepared in an environment free from bacteria, viruses, and other contaminants. This process is essential for creating injectables, eye drops, and other formulations requiring sterility for optimal patient safety. 

Practitioners from various states choose Health Dimensions Clinical Pharmacy (HDRx) for their sterile compounding needs due to its PCAB accreditation and expertise. This accreditation highlights HDRx’s commitment to adhering to the highest industry standards in sterile preparation, ensuring that each medication is compounded at the highest standards. By partnering with a PCAB accredited pharmacy like HDRx, healthcare providers ensure that their patients receive the highest quality of sterile compounded medications.

PCAB Logo - HDRX is an Accredited Compounding Pharmacy

Ready to Get Started? Get Injections for Neuromas Shipped Directly to Patients.

HDRx is committed to supporting podiatrists and patients through advanced compounded medications for a variety of podiatric conditions, including neuromas. By providing customized formulations and dosages, we ensure that each injection is aligned with the patient’s specific health needs and recovery goals. 

HDRx is licensed to ship medications to multiple states with valid prescription: MI, OH, IN, IL, IN, WI, MN.

For patients and healthcare providers interested in exploring the potentials of ethyl alcohol and bupivacaine injections for neuroma, HDRx offers expert consultations and detailed information on compounded drug combinations to enhance podiatric care.

Remember, the best care approach is one that’s personalized to a patient’s specific condition, and HDRx is here to help.

References

Dockery, G. L. (1999). The treatment of intermetatarsal neuromas with 4% alcohol sclerosing injections. The Journal of foot and ankle surgery, 38(6), 403-408.

Fanucci E, Masala S, Fabiano S, Perugia D, Squillaci E, Varrucciu V, Simonetti G. Treatment of intermetatarsal Morton’s neuroma with alcohol injection under US guide: 10-month follow-up. Eur Radiol. 2004 Mar;14(3):514-8. doi: 10.1007/s00330-003-2057-7. Epub 2003 Oct 3. PMID: 14531002.

Mazoch, M. J., Cheema, G. A., Suva, L. J., & Thomas, R. L. (2014). Effects of alcohol injection in rat sciatic nerve as a model for Morton’s neuroma treatment. Foot & ankle international, 35(11), 1187-1191.

Millán-Silva, M. O., Munuera-Martínez, P. V., & Távara-Vidalón, P. (2024). Infiltrative Treatment of Morton’s Neuroma: A Systematic Review. Pain Management Nursing.

Sofka, C. M., Adler, R. S., Ciavarra, G. A., & Pavlov, H. (2007). Ultrasound-guided interdigital neuroma injections: short-term clinical outcomes after a single percutaneous injection—preliminary results. HSS Journal®, 3(1), 44-49.

 

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