S/P Neuroma Excision

Definition:
The treatment for peripheral nerve damage is excision (removal) of the damaged nerve (neuroma). To prevent recurrence of the pain, a remaining portion of the nerve is implanted into the muscle. If you had a lot of damage to a main nerve, you might require reconstruction of that nerve. Similarly, if you needed a peripheral nerve tumor removed, you might also require nerve reconstruction. Once the nerve is reconstructed, it recovers approximately a half to one millimeter per day, so please bear in mind that your recovery to the surgery may be delayed, as you recover your function bit by bit.

Symptoms
  • Pain in the foot with walking
  • Numbness most common in the 2nd, 3rd or 3rd, 4th toes
  • Feels like a pebble in their shoe or walking on razor blades
  • Burning, numbness, and paresthesia may also be experienced
  • Swelling in the foot
Causes
  • Compression of the nerve of sensation between the ends of the metatarsal bones at the base of the toes
Treatment
  • Foot passive and active ROM
  • Scar tissue massage
  • Foot intrinsic muscle strengthening
  • Lower extremity strengthening
  • Gait program
S/P Neuroma Excision Phase I

Purchase Phase

  • Crutch Walking
  • Crutch Transfer Bed
  • Straight Leg Raise
  • Ankle Pumps
  • Quad Sets
  • Clams
  • Prone Glute Max Knees Bent
  • Marble Pick Up
  • 100s
  • Big Toe Curls
  • Big Toe Lifts
  • DVT Clot Instructions

S/P Neuroma Excision Phase II

Purchase Phase

  • Slant Board Bent Knee
  • Slant Board Straight Knee
  • Hand Foot Interlock
  • Windshield Wipers
  • Foot Ankle Prevention Program Yoga
  • Heel Raises
  • Heel Raise II
  • Step Overs
  • Bridge Marching
  • Toe Flexor Stretch
  • Sit On Toes

S/P Neuroma Excision Phase III

Purchase Phase

  • Heel Offs
  • German Dance
  • Heel Raises
  • Step Overs In Mase
  • T Band Walks In Mase
  • Tennis Ball Push
  • Jump Rope Routine
  • Toe Hops