Author(s): Sahil Shah, Neal Malhotra, Alexander Blanca, Shauna Patel, Richard J Rivera and Manuel Orozco

Abstract: Background: A stump neuroma is a possible sequelae of any surgery where a nerve is cut, or in this case specifically, when a neuroma is removed. It is due to the nerve’s attempt to regenerate, however, without the Schwann cells intact, the nerve grows sporadically in a bulb like fashion causing significant localized pain.Case Presentation: A 23-year-old male presented to the clinic with shooting pain in his right foot and was diagnosed with both a Morton and Hauser neuroma. Conservative treatment modalities and glucocorticoid injections were unable to resolve the pain in the neuromas, leading to surgical removal which provided temporary relief. Following the surgery, the patient presented with similar pain just proximal to the incision site, which was diagnosed as a stump neuroma. After an unsuccessful trial of conservative treatment, the patient was successfully treated with Luminex 500 laser therapy, and was able to return to normal activities of daily living.Discussion: Treatment of nerve injuries such as a stump neuroma may be more adequately treated with the use of Low Level Laser Therapy such as the Luminex 500. However, more research is needed to determine which laser parameters must be set for optimal treatment of nerve injuries. It is important for clinicians to keep laser therapy in mind when determining treatment of a stump neuroma, or other nerve injuries.

DOI: 10.22271/27078345.2024.v6.i1b.195

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