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More Foot Surgery when RSD has not been ruled out

Posted by Darlene on 7/24/04 at 18:03 (156211)

I am planning foot surgery to take out my Morton's neuroma which appears to have been nicked during nerve decompression surgery. RSD has not been ruled out. I do not have the skin changes typical of RSD, but I do have pain beyond just the neuroma area. Should certain precautions be taken in this case? I feel the neuroma has to be taken out for my pain to start to subside.

Re: More Foot Surgery when RSD has not been ruled out

Ed Davis, DPM on 7/26/04 at 09:41 (156260)

Darlene:
If RSD has been ruled out one would take only the standard precautions one would take during neuroma surgery.
Ed

Re: Dr. Ed

Darlene on 7/26/04 at 15:31 (156281)

But RSD has not been ruled out. I've been told that if it is RSD, it is atypical.

Re: Dr. Ed

Ed Davis, DPM on 7/26/04 at 19:51 (156308)

Darlene:
RSD can be aggravated by surgery. If there is a clear benefit to proceeding with surgery, then one may still consider it, particulary if one is under concurrent care by a pain management specialist. The surgeon needs to work with the pain specialist on formulating a treatment plan with contingencies for any possible aggravation of RSD after surgery.
Ed