Chemical Neurolysis with Phenol

What should I expect from this procedure?

The chemical destruction of the nerve, called neurolysis, is a form of treatment that consists of 7-10 weekly injections of phenol mixed with a local anesthetic. This treatment is used in management of chronic pain, treatment of cancer pain and alternative management to treat spasticity in order to improve balance, gait, self-care and global rehabilitation. Chemical neurolysis is a safe and effective treatment option for patients who want to avoid a surgical procedure and any associated complications.

The injections are given into the area of the neuroma (nerve tissue). To ensure precise placement of the injection directly into the neuroma, we utilize diagnostic ultrasound, which allows us to see exactly where the injection is being placed. Nerve tissue has a natural affinity for phenol and it is easily absorbed into the nerve. The injection is mildly uncomfortable and easily tolerated by almost all patients. Dr. MineHart will numb the area of injection for your comfort.

What happens after the procedure?

Avoidance of repetitive activities that aggravate the pain combined with short-term immobilization of the affected area may also provide relief. The use of local heat as well as gentle range of motion exercises should be introduced several days after injection technique.