Title: Neuromas and Complex Regional Pain Syndrome
Headings: Neuromas and Complex Regional Pain Syndrome
Neuromas and Complex Regional Pain Syndrome
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Division of Plastic and Reconstructive Surgery
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Definitions
Neuroma
Complex Regional Pain Syndrome (previously known as Reflex Sympathetic Dystrophy)
Diagnosis and Treatment
Common Sites of Neuromas
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Content: Complex Regional Pain Syndrome (previously known as Reflex Sympathetic Dystrophy)
In some cases, the pain associated with neuromas can cause a more generalized pain in the region of the injury. While the injury may have been localized just to the nerve, over time the pain can migrate to the non-injured adjacent skin, which becomes painful to the touch. Other changes in the affected area can include changes in circulation, hair growth and/or hair loss, changes in sweat production, and even decreased bone density. If these changes are associated with a neuroma, often the treatment of the neuroma can help to decrease pain as well as these other signs and symptoms. Learn more about Complex Regional Pain Syndrome (PDF)
Diagnosis and Treatment
Neuromas can be diagnosed by history and physical exam of patients. The areas of sensitivity are identified by tapping directly on known pathways for peripheral nerves, which should elicit the painful symptoms and often a tingling sensation. These areas are then injected with a local anesthetic either at those sites or in the nerves which are affected (known as a nerve block). If relief is achieved, it is more likely that surgical treatment of that neuroma will help alleviate pain. The neuroma is then excised, and the nerve is placed in an area in the deeper tissues where it will not receive frequent direct stimulation (from pressure or contact) during normal activities. Often, medications are used in conjunction with surgical treatment to modulate the body’s response to the neuroma pain.