The main indication for surgery is painful neuroma intractable to medical management. These can be very challenging. There are numerous methods to treat them; below are some examples. The main risks are failure to improve the pain and recurrent neuroma.


Main Indication Nerve Graft Distal Stump Distal Nerve Proximal Stump 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Supplementary material

Video 24.1

(MP4 204084 kb)

Video 24.2

(MP4 1045303 kb)


  1. 1.
    Mackinnon SE, Dellon AL, Hudson AR, Hunter DA (1985) Alteration of neuroma formation by manipulation of its microenvironment. Plast Reconstr Surg 76:345–353CrossRefPubMedGoogle Scholar
  2. 2.
    Aszmann OC, Moser V, Frey M (2010) Treatment of painful neuromas via end-to-side neurorraphy. Handchir Mikrochir Plast Chir 42(4):225–232PubMedGoogle Scholar
  3. 3.
    Elliot D (2014) Surgical management of painful peripheral nerves. Clin Plast Surg 41:589–613CrossRefPubMedGoogle Scholar

Copyright information

© Springer International Publishing Switzerland 2015

Authors and Affiliations

  • Amgad S. Hanna
    • 1
  1. 1.Department of NeurosurgeryUniversity of WisconsinMadisonUSA

Personalised recommendations