Activity Worth: 1 CPD hours

Australasian Podiatry Conference 2017: Evidence based non-surgical treatment options for Morton’s Neuroma - APodC

by Barry Matthews1, Sheree Hurn1,2, Michael Harding3, Rachel Henry4, Robert Ware5 on Tuesday, 25 June 2019 - 2:04pm

The Australasian Podiatry Conference 2017 featured an array of great speakers and exemplary papers.

We are pleased to provide here one of the conference abstracts and invite you to read the abstract and then complete the writing task detailed below.

CPD Activity: Value – 1 hour – Consider category 4 Self-directed Learning under Podiatry Board of Australia Guidelines.  Consider also Category 3 Quality Improvement Activities under the guidelines


37 Evidence based non-surgical treatment options for Morton’s Neuroma

Barry Matthews1, Sheree Hurn1,2, Michael Harding3, Rachel Henry4, Robert Ware5

1School of Clinical Sciences, Queensland University of Technology, Kelvin Grove, Brisbane, QLD, Australia; 2Institute of Health and Biomedical Innovation, Queensland University of Technology, Kelvin Grove, Brisbane, QLD, Australia; 3School of Health Sciences, University of South Australia, Adelaide, SA, Australia; 4Rachel Henry Podiatry, Clayfield, Brisbane, QLD, Australia; 5Menzies Health Institute Queensland, Griffith University, Nathan, Brisbane, QLD, Australia

Correspondence: Barry Matthews



Morton’s Neuroma is a common cause of neuralgia which affects the forefoot impacting weight- bearing activities. A 2004 Cochrane review concluded there was little evidence to support insoles as an intervention. The aim of this study was to conduct a systematic review of the current non-surgical interventions for Morton’s Neuroma.


A systematic review was registered with Prospero (registration number CRD42016037405) and the search question yielded 1687 papers from 4 biomedical databases. The title and abstract and full text screen reduced the included papers to 19. A quality bias assessment using the Downs and Black checklist is currently being completed and data will be extracted from the higher quality papers for data synthesis. This process will be completed by the end of 2016. Included in our definition of non- surgical interventions were skin penetration treatments that don’t involve an incision, such as an injection or skin penetrating probe (Macquarie Dictionary surgery definition).


The 19 papers from the full text screen includes 7 different non-surgical interventions including: manipulation and mobilisation, ultrasound-guided or electro-stimulator or palpation only alcohol sclerosing therapy, ultrasound-guided cryogenic neuroablation, ultrasound-guided corticosteroid injection, footwear modification and orthoses, botulinum toxin A injection and ultrasound-guided pulsed radio frequency ablation. Included study types from the full text screen range from type II randomised controlled trials to type IV case series (NHMRC evidence hierarchy for intervention studies).


The review to date has identified a continuing lack of high quality evidence for most interventions reviewed. Registered podiatrists have an obligation to treat patients according to the principles of evidence-based medicine and this systematic review will help inform a podiatrist’s shared decision making with their patients.

The task


Read the abstract, then prepare a brief paper (250 – 500 words) in which you explain why the subject matter is important to you. Give your initial response, and then write about the aspect you have chosen to reflect upon. You may wish to relate to your own skills, professional experience or discipline knowledge.


Outline any changes in your understanding and/or behaviour as a result of the experience. What actions may flow from your engagement? Explain the implications for this in your future professional practice. What actions might you take and why?


Don’t forget to upload your completed work to your e-portfolio, citing paper number and title,  as evidence of completion.




This abstract can be viewed at the below link.  This abstract is number 37.




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