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  • Title: The treatment of painful neuroma on the lower extremity by resection and nerve stump transplantation into a vein.
    Author: Koch H, Hubmer M, Welkerling H, Sandner-Kiesling A, Scharnagl E.
    Journal: Foot Ankle Int; 2004 Jul; 25(7):476-81. PubMed ID: 15319105.
    Abstract:
    Lower extremity neuroma resection with nerve stump transposition into a vein was employed in eight patients (five male, three female). The neuromas resulted from amputations (four patients), vein stripping procedures (two patients), tumor resection, and toe-harvest for thumb reconstruction. Follow-up averaged 17 months (range, 8-37). Four of the patients experienced complete and permanent relief of pain; in three patients mild pain recurred within 3 months. All of these patients were satisfied with the result and did not request further treatment. In one case, a painful neuroma recurred. Our results suggest the possibility of inhibiting the formation of painful neuromas by nerve transposition into a vein. Further use of this method is encouraged.
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