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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Is It Safe To Have Ray Amputation Due To Neuromas In Large Finger?

I have Stage II CRPS resulting from a crush injury and a partial amputation of my large finger which resulted in two neuromas and I must keep my finger splinted at most times. I want to have a Ray amputation but now my ortho is leery because he's afraid he'll then be chasing neuromas in my hand which is my dominant hand. Anyone familiar with Ray amputations and/or chasing neuromas? Thanks so much for your time.
Mon, 6 Apr 2015
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Orthopaedic Surgeon, Joint Replacement,  's  Response
Hello,
I have studied your case and I can assure you that if amputation is done in proper manner than neuroma never occurs. Again neuroma is not the indication for repeat amputation.I would recommend you following.
1.Meet a hand surgeon and discuss with him. He can explore the neuroma and excise it only with out repeating amputation.
2.You can get repeat amputation if above mentioned process is not possible. In that case you can operated by a good hand surgeon.If nerves are cut properly than neuromas should not occur.
3.Tablet pregabalin M can be taken at night time to reduce neuroma pain.
I hope these steps will help you.Let me know if there is any other followup questions.
thanks
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Is It Safe To Have Ray Amputation Due To Neuromas In Large Finger?

Hello, I have studied your case and I can assure you that if amputation is done in proper manner than neuroma never occurs. Again neuroma is not the indication for repeat amputation.I would recommend you following. 1.Meet a hand surgeon and discuss with him. He can explore the neuroma and excise it only with out repeating amputation. 2.You can get repeat amputation if above mentioned process is not possible. In that case you can operated by a good hand surgeon.If nerves are cut properly than neuromas should not occur. 3.Tablet pregabalin M can be taken at night time to reduce neuroma pain. I hope these steps will help you.Let me know if there is any other followup questions. thanks