Neuromas and Nerve Tumors
.Painful Neuroma
A neuroma is a nerve tumor in which the nerve cells have been proliferating in an uncontrolled or disorganized manner. The neuroma itself appears as a tangled mass of nerve fibers with regenerating units in all orientations. If the neuroma is superficial, it will appear as a small, painful lump close to the skin
A neuroma is often found near a scar, making the area around the scar very painful and sensitive to touch, and even sensitive to joint and muscle movement. Other altered sensation such as numbness or tingling may also occur when the region of the scar is palpated.
Why do neuromas occur?
Neuromas form from a nerve that has been cut either surgically or due to an injury. The cut end of the nerve tries to regrow, but the fibrous scar tissue prevents the new shoots from growing uniformly and instead they form a tangled, painful mass in the scar tissue.

How is a neuroma treated?

The surgeon has traditionally resected the neuroma, cutting the nerve back from the scar. However, this technique often results in the formation of a secondary neuroma because the nerve may regrow back into the scar tissue, or into an area that receives a lot of impact.
Our studies have shown that the implantation of nerve into a quiet area, that is tension free, and away from denervated skin (or scar tissue) may alter the recurrence of the classic neuroma. The ideal site for implantation of a nerve is into muscle.

Click on the Next button to view illustrations describing the treatment of a painful classic neuroma ( True neuroma).