Neuromas
A neuroma is a painful sequela following a nerve injury. A neuroma can occur after a nerve is partially or completely disrupted by a cut, crush, or blunt injury. After the trauma, the injured nerve ends try to re-connect but instead form a disorganized mass of nerve cells. This rounded clump of disorderly nerve growth is called a neuroma. Neuromas are often painful, especially with direct pressure and can cause a tingling or electric shock sensation with contact. For this reason, they can impact daily activities through guarding from any direct contact to the injury site.
Treatment
There are several treatment options to address a painful neuroma, and the treatment plan must be tailored to the individual patient. Surgical options include neuroma excision with intramuscular or intraosseous implantation, nerve grafting, nerve cap placement, and targeted muscle reinnervation (TMR). TMR can re-target these nerves to decrease or eliminate the symptoms of neuromas. This technique has been shown in clinical studies to decrease pain and the need for pain medications following nerve injuries.
