Neurolysis
Neurolysis is a therapeutic procedure used to treat neuromas. This procedure involves the application of chemicals, physical agents, or surgical manipulation to a nerve to cause temporary degeneration of targeted nerve fibers, interrupting transmission of nerve signals and thereby reducing pain.
Overview
Neurolysis can be performed using several different techniques, including chemical neurolysis, radiofrequency neurolysis, and surgical neurolysis. The choice of technique depends on the specific circumstances of the patient and the nature of the neuroma being treated.
Chemical Neurolysis
Chemical neurolysis involves the injection of a neurolytic agent, such as alcohol or phenol, directly into the nerve. This causes degeneration of the nerve fibers and interrupts the transmission of nerve signals.
Radiofrequency Neurolysis
Radiofrequency neurolysis uses high-frequency electrical currents to generate heat, which is then applied to the nerve. This heat causes degeneration of the nerve fibers and interrupts the transmission of nerve signals.
Surgical Neurolysis
Surgical neurolysis involves the physical manipulation of the nerve, often through the removal of scar tissue or other obstructions that are causing nerve compression. This can help to relieve pain and restore normal nerve function.
Risks and Complications
As with any medical procedure, neurolysis carries some risks and potential complications. These may include infection, bleeding, nerve damage, and the potential for increased pain. Patients should discuss these risks with their healthcare provider before undergoing neurolysis.
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Contributors: Prab R. Tumpati, MD