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Neurolysis
It is a common strategy in interventional pain management to destroy some nerves that are causing pain. The nerves do grow back over part of a year and hopefully behave better. We believe such strategies have a place, yet we approach this process of neurolysis or neuroablation with some caution. We use milder, safer versions of these techniques in a few clinical situations. For example, a Morton's neuroma is a painful enlargement of nerve tissue in the foot near the toes. We find neurolysis to be a reasonable strategy for this disfigured nerve. While destruction of the neuroma is sometimes attempted all at once using stronger methods with risk of surrounding tissue damage and side-effects, we use a mild 4% alcohol injection, repeated comfortably over several occasions, to accomplish the same goal more safely.
