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Neuroma recurrence after endoscopic decompression

Discussion in 'Ask your questions here' started by Texas Yankee, Jun 28, 2023.

  1. Texas Yankee

    Texas Yankee New Member

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    I had the endoscopic decompression procedure done here in Texas, USA about 22 months ago in August 2021 to treat two neuromas in my left foot. Recovery was relatively quick and the results were in line with what the doctor predicted - NOT an elimination of all pain, but a reduction of the pain \ discomfort by at least half - that was my situation after healing from the surgery - I was able to walk comfortably and hike some trails in our national parks, as long as I was wearing comfortable shoes, which for me turned out to be Crocs - they're wide, and they are very soft-soled - until about a couple of months ago. I am once again having similar sensations in my left foot as before I had the decompression surgery - it often feels like I have a golf ball under my foot, but there's no visible swelling, and I often have numbness and tingling sensations in my fore-foot, especially if I walk even a very short distance in the house in bare feet.

    I have two questions:

    1) I understand that releasing the transverse carpal ligament gives the nerves in the affected area more space and thus the neuroma is no longer aggravated - but does the transverse carpal ligament ever "reconnect", grow back together, again crowding the nerve(s)?

    2) I'm now wondering if there's another neuroma in my left foot that wasn't evident when I had the surgery a couple of years ago - have you seen any instances where releasing the transverse carpal ligament to treat a neuroma(s) caused other intermetatarsal nerves to be compressed, thus resulting in other neuromas?

    Thanks in advance for your thoughts !
  2. Craig Payne

    Craig Payne Super Moderator

    My understanding is that up to 10-20 can recur following decompression and may need to be done again or have a different procedure.

    Yes, the ligament can reconnect - may depend on how much of it was reseceted.

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