I spoke to you last week about my 3rd toe amputation and a nerve entrapment.
by Jill S.
Well,I went back to the original Podiatrist who did my surgery,and basically I told him about your advice and he said that he wanted more Xrays and an MRI done. I gave him the MRI and report from my @nd opinion.As I told you they both came up showing zitch.Yesterday he injected more cortisone in the spot where my toe used to be. Excruciating pain there. He then said that in a month if this doesn't work then another shot end of April. then perhaps surgery. Today not only in pain but worse pain from shot on top of regular pain. Couldn't sleep a wink last night.Have you heard of Cryogenic surgery? My Dr said I have Stump Neuroms. I have ben online researching both traditional and Cryo surgery . Please give me your advice. Thanks Again- Jill from CT
As I think I had originally suggested to you, a stump neuroma was one of my thoughts. It seems to be the only logical explanation for the amount of pain that you are in.
The fact that the cortisone shot made it worse is neither here nor there in changing my thought.
Cryogenic surgery is a possible treatment option for neuroma. If you go to my article on Morton's neuroma, there is a video of the procedure.
There is a caveat here. Basically, cryosurgery freezes the nerve and thereby deadens the tissue. Because of this I am not sure freezing the nerve will actually reach the part that is embedded in scar tissue.
I think in your last post you had mentioned that you had received alcohol injections which did not help. The same rule would apply here. The injection could did not reach the part of the nerve embedded in scar tissue.
Although, familiar with the concept of cryosurgery, I personally do not perform it as I prefer the denatured alcohol injections as they basically have the same outcome and the injections are a little less invasive.
There probably is no harm in considering cryosurgery because it is relatively noninvasive, but it is my feeling that the only way you are going to end up resolving this issue is through surgery. In this surgery, the entrapped nerve has to be freed up from the scar tissue and then that portion of nerve would have to be excised.
Marc Mitnick DPMDISCLAIMER