Peripheral Nerve Specialist — Las Vegas

Stump Neuroma Treatment

A stump neuroma is a recurrent, often more painful neuroma that forms at the end of a nerve after prior Morton's neuroma surgery. Dr. Bregman specializes in the diagnosis and surgical management of this complex condition.

What Is a Stump Neuroma?

When a Morton's neuroma is surgically removed (neurectomy), the nerve is cut and a small stump remains. In some patients, this nerve stump forms a stump neuroma — a disorganized, painful regrowth of nerve tissue at the cut end.

Stump neuromas are notoriously difficult to treat because the nerve is already in a sensitized, abnormal state. Many patients who undergo revision surgery without proper nerve management experience recurrence.

Dr. Bregman's approach addresses not just the stump itself, but the entire nerve environment — using advanced surgical techniques combined with regenerative medicine and peptide therapy to minimize the risk of re-formation.

Stump Neuroma vs. Morton's Neuroma

CauseNerve compression between metatarsal headsScar tissue at prior surgical nerve cut site
Pain characterElectric, burning, ball-of-foot painOften more severe, constant, burning
Location3rd–4th or 2nd–3rd interspaceSame interspace as prior surgery
HistoryNo prior foot nerve surgeryPrior Morton's neuroma excision

Symptoms of a Stump Neuroma

Burning, electric, or shooting pain in the ball of the foot — often worse than the original neuroma pain

Pain that begins weeks to months after the original neurectomy

Tenderness directly at the site of the prior surgery

Pain with any pressure on the forefoot — even light shoe pressure

Numbness or altered sensation in the toes supplied by the affected nerve

Pain that worsens with activity and may be present at rest in severe cases

Dr. Bregman's Treatment Protocol

Conservative Management

Diagnostic Ultrasound — Confirms the presence and location of the stump neuroma before any intervention.
Alcohol Sclerosing Injections — A series of ultrasound-guided injections that can chemically ablate the stump neuroma in some cases.
Regenerative Medicine (PRP) — Reduces the inflammatory environment around the nerve stump.
Peptide Therapy (Selank/Semax) — Neuroprotective peptides that reduce nerve sensitization and pain signaling.
Custom Offloading Orthotics — Reduces mechanical pressure on the affected interspace.

Surgical Management

Revision Neurectomy — Surgical re-excision of the stump neuroma with proximal nerve transposition to a non-weight-bearing area (e.g., intrinsic muscle belly) to prevent re-formation.
Nerve Cap Technique — A collagen nerve cap is placed over the cut nerve end to prevent disorganized regrowth.
Targeted Muscle Reinnervation (TMR) — An advanced technique where the nerve stump is connected to a small motor nerve branch, providing a target for the regenerating nerve fibers and preventing neuroma formation.
Post-Surgical Regenerative Protocol — BPC-157 and GHK-Cu peptides used post-operatively to promote nerve healing and reduce scar formation.

Suffering After Prior Neuroma Surgery?

Stump neuromas require a specialist with advanced nerve surgery expertise. Dr. Bregman has extensive experience managing recurrent and complex neuroma cases. Schedule a consultation today.

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