Specialty Focus
For patients who have been told nothing more can be done. For those whose pain has persisted despite multiple treatments. For those who need a fresh set of expert eyes before proceeding with surgery.
Dr. Bregman welcomes complex and difficult cases — including stump neuromas, failed prior surgery, chronic undiagnosed nerve pain, and conditions that have not responded to standard treatment. A thorough re-evaluation often reveals options that were not previously considered.
Who This Is For
Patients who had Morton's neuroma surgery (neurectomy) and developed a painful stump neuroma at the cut nerve end. This is a known complication that requires specialized revision surgery.
Patients with persistent or worsening pain following prior foot or ankle surgery. A thorough re-evaluation can identify nerve injury, scar tissue formation, or other causes that were not addressed.
Patients with burning, tingling, or electric pain in the foot that has not been explained or effectively treated. Peripheral nerve conditions are frequently missed and may be the true source of pain.
Patients with heel pain that has not responded to plantar fasciitis treatment. Tarsal tunnel syndrome, Baxter's nerve entrapment, and medial calcaneal nerve entrapment are common nerve causes of heel pain that are frequently overlooked.
Patients who have been told surgery is their only remaining option and want to explore whether non-surgical or minimally invasive alternatives exist before proceeding.
Patients who have been recommended complex reconstructive surgery and want an independent expert evaluation of their options, risks, and expected outcomes before making a decision.
The Process
A thorough review of your prior treatment history, imaging, surgical records, and current symptoms. Bring all prior records, imaging CDs, and operative reports to your appointment.
A fresh, independent physical examination focused on identifying the true source of your symptoms — including nerve-specific testing that may not have been performed previously.
An honest discussion of what Dr. Bregman finds, what options exist, what the realistic expectations are for each option, and what he would recommend — and why.
Complex Condition
A stump neuroma is a painful mass that forms at the end of a nerve that was cut during a prior neurectomy — most commonly after Morton's neuroma surgery. When a nerve is cut, the proximal end attempts to regenerate. If this regeneration is disorganized, a painful neuroma forms at the cut end.
Stump neuromas can be more painful and more difficult to treat than the original Morton's neuroma. The pain is often severe, localized, and exquisitely sensitive to pressure. Many patients with stump neuromas are told nothing can be done — this is not always accurate.
Revision surgery for stump neuroma requires careful planning, precise technique, and specific expertise. Options include excision of the stump neuroma with nerve end management techniques designed to prevent recurrence. Dr. Bregman evaluates each stump neuroma case individually and discusses realistic expectations before any revision surgery is recommended.
If you have been living with unresolved foot pain, a fresh expert evaluation may open doors that were previously closed. Dr. Bregman welcomes complex cases.