Title: Neuromas and Complex Regional Pain Syndrome
Headings: Neuromas and Complex Regional Pain Syndrome
Neuromas and Complex Regional Pain Syndrome
Contact Information
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: The neuroma is a ball-shaped mass at the site of the injury, which can be painful or cause a tingling sensation if tapped or if pressure is applied. Although not always the case, a neuroma can be extremely painful and can cause significant loss of function for the patient by limiting motion and contact with the affected area. Neuromas can occur after trauma and even after surgery in any region in the body since most areas have nerve fibers providing feeling. Painful neuromas are common after amputations in the hand and upper extremity (arm) and in the lower extremity (leg). They are also seen following hernia repair in the groin. 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.