Neurosurgeon Questions Neurosurgeon

Can you have surgery for nerve pain?

I am a 40 year old male and I have foot nerve pain. Can you have surgery for nerve pain?

16 Answers

Yes there are options for nerve pain surgery if the nerve is compressed
Yes, you can, google Dr. Robert Parker of Houston, Texas, to see what can be done. He is an expert on this topic.
Yes, if it's neuroma excision, or decompression.
Yes, if it's severe or disabling.
Foot nerve pain can happen in between the base of your toes and their rays— equivalent regions to your hand’s knuckles and palm. A balled up nerve can grow bigger or get squeezed especially between 3-4th toes to mid foot, called Morton’s neuroma, which can be treated surgically by a podiatrist or orthopedist.
Depends on where the nerve is, sometimes the nerve can be removed but then you have chronic numbness to an area. Can try steroid injections for the nerve and calm down the inflammation as well. Bigger nerves to the foot and ankle area more difficult to treat unless they are being compressed which could be the issue and then a surgery to decompress the nerve can help.
Depending on the cause of nerve pain - some conditions such as disc herniations of the spine that can result in nerve pain can be effectively managed with surgery as there are others causes that are more challenging to treat. It is best to have your physician assist you with the cause of your nerve pain and then see a specialist in that area to best answer that question regarding surgery.
Depends on the cause. Lyrica 75 mg in the am and 150 mg in the pm works well. If you are a diabetic, control your sugars. Surgery would be a last resort. Wear supportive shoes.
The pain, tingling, numbness and other discomforts of peripheral nerve disorders can often be treated successfully with physical therapy and other nonsurgical methods.
You can have surgery for anything, but will it actually work is the question. These surgeries have very little chance of working. There are multiple conservative options that work well. I have a specific topical medication that works really well for my patients with your diagnosis. Also, insurances cover this medication.
Nerves have to be evaluated carefully as they are difficult to treat. If there is nerve that is cut, it may be sutured. If there is a nerve that is trapped in scar tissue, it may be released from this scar tissue. Even if this is done, there are no guarantees that the feeling will improve.
Nerve pain can be difficult to diagnose and treat. Surgery can be one option. i recommend you be evaluated by a foot and ankle surgeon (podiatrist) to determine the correct diagnosis and treatment options.
Yes! But first you need a complete neurological evaluation by a neurologist to help you with the decision and referral to the proper specialist.
Yes, absolutely. There are many options for this.

Regards,

Adam Lipson
It really depends on why you have nerve pain. 'Neuropathy,' which is a condition in which the nerves start to send abnormal signals to the brain, and other nerve-related pain such as CRPS/RSD (Complex Regional Pain Syndrome/Reflex Sympathetic Dystrophy) are very complicated to treat, and in the case of CRPS/RSD, NO SURGERY SHOULD EVER BE PERFORMED, or the problem may become worse. For nerve pain related to radiculopathy (impingement of nerves for various reasons at the spinal cord and spinal column), there may be nerve ablation surgery or even spinal cord stimulators which may decrease pain surgically. However, nerve pain is very tricky, and you must insure you are having procedures performed by competent, board certified physicians. In the foot and ankle, there are surgical nerve releases throughout the leg that may be performed for Neuropathic pain, but often they are unsuccessful. And finally, there are nerve releases and repairs that may be done for carpal tunnel, tarsal tunnel, and pathologies such as Neuromas.
Good afternoon,

Thanks for taking the time to contact us with your concerns. It would depend on what is causing the pain, as nerves can be damaged or injured in many ways. If it is an issue related to your lumbar spine (i.e., pinched nerve, degenerative disease, etc.), surgery might sometimes be an option. If it is an established illness such as diabetes or any issue localized on your foot itself, it might require different types of treatment.

Dr. Casas