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Endoscopic Decompression of an Intermetatarsal Nerve

Endoscopic decompression of an intermetatarsal nerve is a new surgical technique developed by Dr. Barrett, in 1994 to permanently correct neuroma pain in a less traumatic manner.


This technique allows for a quicker recovery and a faster return to normal activity than traditional surgical techniques. Specially designed instrumentation is utilized that allows the surgeon to directly visualize the foot structures on a video screen through two small, less than ¼ inch incisions on the foot. The procedure is performed in an outpatient setting. Most patients can bear weight immediately after surgery and return to tennis shoes the day after surgery. Everyone heals differently. Factors such as age, weight, circulation, and occupation contribute to healing times.


Instratek Edintrak II is designed for endoscopic decompression of the intermetatarsal nerve, commonly referred to as “Morton’s Neuroma”. Endoscopic neurolysis has superior efficacy without the serious potential complication of amputation neuroma (Recurrent Morton’s Neuroma).  This minimally invasive technique allows for faster recovery when compared with open techniques.  Edintrak II endoscopically divides the transverse intermetatarsal ligament (TIML) of the 2nd and 3rd web space decompressing the nerve.  Our system includes procedure specific endoscopic instrumentation providing atraumatic insertion of the oval cannula under the TIML from the digital web space through a uni-portal approach.  This provides protection of the plantar neurovascular structures while allowing endoscopic visualization and complete division of the TIML.