Groin pain  following inguinal hernia repair, c-section or hysterectomy

Knee pain after knee replacement or knee arthroscopy or trauma

Foot & Ankle pain following any orthopedic surgery or trauma

Amputation Stump (Phantom) pain below knee amputation, above knee amputation, mid-foot, upper extremity, toe or finger amputations

Breast pain after breast reconstruction or other breast surgery

Trunk pain history of previous surgery

Upper or lower extremity pain following any surgery or trauma

Post-Craniotomy Headache pain previous acoustic neuroma or other cranial surgery

Post-Herpetic Neuralgia following shingles

You should also know:

What is actually done during nerve excision surgery?

Usually under general anesthesia, an incision through skin, overlying the anatomical location of the neuroma, is made and deepened through anatomical planes. Sometimes, that incision is made proximal to the actual neuroma site in order to have a better implantation site so a neuroma does not recur.  If extremity surgery is done, unless contraindicated, a tourniquet is applied proximal to the operative site to provide bloodless field.  In this case, blood loss is nearly none, completely eliminating any need for blood transfusions.  Once the nerve/neuroma is identified, using proper microsurgical instruments and techniques, excision is performed.  When a neuroma involves a sensory nerve, which is most often is the case, numbness/paresthesia distally in the  involved nerve’s distribution can be expected post-operatively.  Implantation of the proximal stump of the nerve into muscle is carefully done to minimize its chance of recurrence.

Surgery: In-patient or outpatient, its duration, recovery?

Most, if not all of the above treatments are done on an outpatient basis, unless your pre-existing medical condition would warrant admission. It takes in average one hour to perform the surgery.

Dressings are removed, on average, in one week.  While sutures are removed about three weeks after surgery.

Ambulation, in general, depending on your personal level of discomfort, is permitted right after surgery.  Some patients prefer to use crutches during immediate post-operative period.

Recovery varies but it usually takes about two-three weeks, which certainly can vary depending on several variables (type of professional work done, age, co-morbidities, etc).

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