Neuroma Treatment: Alternatives to Surgery

Cryoablation of Neuroma: A Minimally Invasive Solution for Nerve Pain

Introduction

Neuromas, particularly Morton’s neuroma or traumatic neuromas, are a common cause of chronic nerve pain. They result from nerve injury or irritation, often characterized by burning, tingling, or stabbing pain. While conservative treatments like orthotics, steroid injections, and physical therapy offer relief for some, others may require more targeted interventions. One such innovative approach is cryoablation—a minimally invasive technique using extreme cold to deactivate the problematic nerve.

What Is a Neuroma?

A neuroma is a benign growth or thickening of nerve tissue, typically developing due to trauma, surgery, or repetitive irritation. Common types include:

• Morton’s neuroma: Found between the third and fourth toes, often associated with foot mechanics or tight footwear.
• Traumatic neuroma: Arises after nerve injury, especially post-surgical or post-amputation.
• Stump neuroma: A form of traumatic neuroma seen after limb amputations.

Cryoablation: The Basics

Cryoablation involves using a cryoprobe that delivers extremely cold temperatures (as low as -16°C) to the affected nerve. This freezing process creates ice crystals within the nerve, disrupting its ability to transmit pain signals without physically removing or cutting the nerve.

How It Works:

1. Localization: The neuroma is identified via ultrasound or MRI guidance.
2. Anesthesia: Local anesthesia is applied to minimize discomfort.
3. Probe Insertion: A cryoprobe is inserted percutaneously into the neuroma.
4. Freezing Cycle: A series of freeze-thaw cycles are applied, destroying nerve fibers while preserving the surrounding structures.

Benefits of Cryoablation

• Minimally invasive: No incisions or sutures required.
• Outpatient procedure: Performed under local anesthesia with minimal recovery time.
• Reduced risk of neuroma regrowth: Compared to surgical excision.
• Rapid pain relief: Many patients report improvement within days.
• Low complication rate: Minimal bleeding, infection, or scarring.

Indications and Patient Selection

Cryoablation is best suited for patients with:

• Persistent, localized nerve pain unresponsive to conservative therapy.
• Imaging-confirmed neuromas.
• Contraindications to surgery or those seeking non-surgical options.

It is commonly used for:

• Morton’s neuroma
• Amputation stump pain
• Post-surgical or post-traumatic neuromas

Potential Risks and Considerations

While generally safe, potential complications may include:

• Temporary numbness or tingling
• Minor bruising or swelling at the probe site
• Rare recurrence of pain or neuroma regrowth
• Cold sensitivity in the treated area

Clinical Outcomes and Evidence

Studies have shown promising outcomes with cryoablation:

• Success rates of 70–90% for pain reduction.
• Sustained pain relief
• High patient satisfaction with minimal downtime and adverse effects.

Conclusion

Cryoablation of neuromas offers a safe, effective, and minimally invasive treatment for patients suffering from chronic nerve pain. As the technology advances and more practitioners adopt image-guided techniques, it continues to gain popularity as a frontline alternative to open surgery.

Patients experiencing persistent neuropathic pain should consult with a pain specialist or interventional radiologist to explore whether cryoablation is the right option for them.

To schedule a consultation and find out if cryoablation may be right for you, visit us at www.AZChoiceFA.com or call us at 480-632-5757