Elastography Imaging for Morton’s Neuroma


Elastography imaging of Morton’s neuroma represents possibly one of the greatest breakthroughs in the imaging of Morton’s neuroma in the last 30 years.

It provides a whole new level of detail, a level that until recently, we could have only dreamt of.


Elastography is a specialised form of Ultrasound imaging that can assesses the stiffness of certain tissues. It is commonly used to assess tumours in other areas of the body, such as the liver and breast. This is because tumours are known to be much stiffer than surrounding healthy tissue. A Morton’s neuroma is not cancerous, but like breast and liver tumours, they are known to be a lot stiffer than healthy nerves. The fact they are stiffer means they are perfectly suited to this new form of detection.

Elastography is the ultrasound equivalent of being able to feel a lump between your finger and thumb and instantly know how hard or soft the lump is. Standard black and white ultrasound only gives the user clues as to how hard or soft a tissue is, but no solid facts or data. Elastography Ultrasound on the other hand, utilises a range of measurements and colours that show the user instantly how hard or soft a tissue is. Different colour codes are superimposed over the 2-Dimensional images.

Stiff areas are marked with blue and soft/elastic tissues with various shades red or green.


 

Elastography for Morton's Neuroma


During Elastography imaging, a healthy nerve appears as a shade of green. However, a diseased Morton’s neuroma nerve will change colour and typically show as blue during the scan.

A 2016 study of 24 Morton’s neuroma evaluated the percentage of change in Elastography values between Morton’s neuroma and healthy nerves. The Elastography values of the Morton’s neuromas was 220% greater than healthy nerves in the same or opposite foot. 

Elastography now allows for increased accuracy in the mapping of the Morton’s neuroma. Small, but painful neuromas that could have previously been missed by Ultrasound and MRI can now be detected with Elastography. Elastography also allows us to more accurately assess and treat patients that have had failed alcohol injections, failed neuroma excision surgery and those suffering from a related condition called bursitis.


 

What Elastography means for our Patients


Using elastography will give us an additional level of knowledge and understanding of your condition. This means patients could benefit from a more specific diagnosis, improved insight with regards to recovery and treatment expectations & outcomes, and an even higher level of precision and accuracy in the treatment you receive.

Both conventional Ultrasound and Elastography scanning is provided to all of our patients as standard, and is included in the cost of the assessment consultation.


 

Our Commitment to Investment in new Treatments & Technology


We are proud to announce that as well as being the first to introduce cryosurgery for the treatment of Morton’s neuroma in to the UK over 12 years ago, we are the first and only clinic in the UK offering elastography as standard to all of our patients. We have been so impressed with the extra information that Elastography has provided in our Sheffield clinic we over the last 12 months, that we are pleased to announce we have recently taken delivery of a second brand-new Elastography scanner for our busy London clinic.