Nerve capping surgery

[deleted131481]

Anyone familiar with this for supposed neuroma? There's a surgeon around who advertising these. Things like post-mastectomy or amputee pain, neuralgia after hernia, etc. I'm skeptical at best...

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[deleted875186]

Interesting, as far as I remember there is some evidence that neurectomy for post hernia pain is helpful, some surgeons do it routinely. Never heard of “capping”.

 

[Orin]

Anyone familiar with this for supposed neuroma? There's a surgeon around who advertising these. Things like post-mastectomy or amputee pain, neuralgia after hernia, etc. I'm skeptical at best...

I have know some surgeons that will do a wrapping of a nerve stump in fat or less inflammatory conduit. Here is a quick easy review

Surgical Approaches for Prevention of Neuroma at Time of Peripheral Nerve Injury

Painful neuroma is a frequent sequela of peripheral nerve injury which can result in pain and decreased quality of life for the patient, often necessitating surgical intervention. End neuromas are benign neural tumors that commonly form after nerve transection, when axons from the proximal nerve...

www.frontiersin.org

I prefer targeted muscle re-innervation for the amputees.

 

[hyperalgesia]

Anyone familiar with this for supposed neuroma? There's a surgeon around who advertising these. Things like post-mastectomy or amputee pain, neuralgia after hernia, etc. I'm skeptical at best...

I'm also skeptical but this is going to be a critical area of research for sure. Potentially we could cap sensory nerve branches after RFA...

 

[powermd]

I see patients from a doc who does these for occipital neuralgia. Some have had basically permanent occipital neuritis refractory to everything short of occipital stim, which I haven't tried.