Treating a painful neuroma means more than removing it — it means giving the nerve a healthy place to terminate so the pain does not return.
Addressed
Prevent recurrence
Pain relief
A neuroma is a painful tangle that forms when an injured nerve has nowhere organized to grow. Older approaches simply cut the neuroma out — but the nerve often regrows another one.
Modern neuroma surgery pairs careful excision with a reconstruction that gives the nerve a purpose: a muscle graft (RPNI) or a rerouting into a motor nerve (TMR). This is why today’s results are so much more durable.
Fig: Microsurgical excision of a neuroma, followed by a technique that gives the nerve a healthy endpoint.
Localized, electric, tap-sensitive pain from a neuroma at a nerve end.
Residual-limb neuromas that interfere with comfort and prosthetic use.
Neuromas after surgery, in scars, or in the chest wall after mastectomy.
A diagnostic block verifies the neuroma is the pain generator.
The neuroma is removed under magnification, back to healthy nerve.
RPNI or TMR gives the nerve a healthy, pain-free endpoint.
Therapy retrains the area as it heals and pain subsides.
Peripheral nerve surgery is its own discipline. Dr. Michaeli has dedicated his practice to the nerves, with fellowship-level training and thousands of nerve procedures.
Nerve work is measured in millimeters. Every repair is performed under high-magnification with microsurgical instruments and the latest reconstructive techniques.
Many patients arrive having been told nothing more can be done. A dedicated nerve evaluation often reveals options that general specialists do not offer.
The incision heals and acute tenderness begins to settle.
Therapy helps the treated area calm down.
Because the nerve has a healthy endpoint, relief continues to improve.
Peripheral Nerve & Brachial Plexus Surgeon · New Jersey & New York
Dr. Michaeli is among the most experienced and trusted peripheral nerve specialists on the East Coast, combining board-certified hand surgery expertise with dedicated peripheral nerve training. He has helped patients across the region regain function when they were told nothing more could be done.
Most peripheral nerve procedures are medically necessary and covered by insurance. Our team will help you understand your benefits and assemble the documentation your plan requires.
The difference between cutting out a neuroma and giving the nerve a healthy home.
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“After years of being told my pain was something I’d have to live with, Dr. Michaeli found the nerve causing it and fixed it.”
Neuroma surgery
“I had given up hope of using my hand again. The nerve transfer gave me back movement the other doctors said was gone.”
Nerve transfer
“The carpal tunnel release was quick and the night pain was gone immediately. I only wish I’d done it sooner.”
Carpal tunnel release
