Nerve capping surgery

[deleted131481]

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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...

 

[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

Frontiers | 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 ...

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.