CRYOTHERAPY neuroma treatment

Cryotherapy (“cryo” meaning cold and “therapy” meaning cure) is a minimally-invasive alternative to invasive surgery. Cryotherapy involves using extremely cold temperatures to treat localized areas of pain.

What Does Cryotherapy Treat?

Cryotherapy Treats:

  • Fibromas
  • Morton’s Neuroma
  • Plantar Fasciitis
  • Diabetic Neuropathy
  • Heel pain
  • Rebuilds muscle mass and strength in legs.
  • Causes the brain to release endorphins which reduce pain in other parts of the body.
  • Regrowth of the nerve paths to stop shooting pain and burning.
  • Repolarizes nerve membranes that may have been disrupted by neurotoxins.
  • Delivers pain relief during treatments.
  • Supports a full restful night’s sleep.
  • Eliminates burning, tingling, and numbness.
  • Feeling returns to feet promoting better balance.

Benefits Of Cryotherapy

Six minute office procedure with a high success rate allowing you to walk out of the office, shower the next day and not miss any work!

How Does Cryotherapy Work?

By having the ice form around the actual nerve itself, the outer layers of the nerve sheath degenerates and, in doing so, decreases the nerve’s abilities to transmit the signal of pain. Over the course of the next couple of months, the nerve sheath regenerates again and in most cases regenerates without the inflammation and you are pain free.

Does Cryotherapy Work?

You bet it does! Just like applying an ice pack on the skin relieves minor aches and pains, cryotherapy has been shown to be very effective in relieving very painful foot conditions such as heel pain (plantar fasciitis)neuromas, and has been showing promising results in treating other conditions such as tarsal tunnel pain, tendonitis and may even be helpful in cases of arthritis and diabetic neuropathy.

Frequently Asked Questions

How painful is cryosurgery?

It isn’t painful at all. Plenty of local numbing medication much like novocaine is used, and patients generally don’t feel anything. This local anesthetic is usually isn’t injected into the actual site of your neuroma. Instead, anesthetic is injected into the top of the foot and the ankle, which soon makes the entire foot numb. Also note that the skin here isn’t very sensitive, so the injections are tolerated extremely well. Generally patients feel less discomfort than with dental injections. A podiatrist in Pittsburgh has performed cryosurgery hundreds of times and most patients complain of almost no pain.

How long do cryosurgery procedures take?

Cryosurgery takes under an ½ hour in most cases. A large portion of this time is the time it takes for the toes to go completely numb, and the actual procedure takes only minutes.

What do I do immediately after the procedure?

It’s a good idea to bring a driver with you, so you can sit in the back-seat and elevate your foot. For the next 24 hours, limit walking (short periods of about 10 minutes are OK). A Wexford podiatrist recommends that patients only walk for periods of less than 10 minutes immediately after the procedure.

When is it OK to return to more vigorous activities like running and sports?

In general we recommend that patients wait for as long as 2 weeks for a complete healing time from cryosurgery. Often less time is required (3 days). Ultimately, this depends on each individual patient and how they heal. Ask our podiatrist in Cranberry, Mars, and Seven-Fields.

How long does the average patient take to feel the maximum benefits?

Our patients know their body best, and we advise patients to “listen to their body.” Our clinical experience has shown that most patients feel the most benefits at about 3 months. Again, much of this is up to the individual patient and the level of discomfort (tenderness) they experience after the procedure.

Are there many cryosurgery complications? Risks of cryosurgery?

Cryosurgery is extremely safe and effective. In the vast majority of cryosurgery cases there are no complications whatsoever.

Is cryosurgery an experimental procedure?

No. For more than a quarter century cryotherapy has been used to treat many conditions. Practitioners using cryo to treat Morton’s neuroma typically see a greater than 80% success rate—even in patients who have had unsuccessful open surgery. Our podiatrist in Sewickley reports very high success rates and patient satisfaction.

Can cryosurgery help after traditional open surgery has failed?

Yes. Cryosurgery is an excellent option if previous surgery has failed. After a failed surgery, the remaining nerve stump may be encased in scar tissue, and freezing it is an excellent option. Cryosurgery can even work if a “stump neuroma” is present.

Is cryosurgery covered by insurance?

This depends entirely on what type of insurance plan you have. Some cover cryotherapy for Morton’s neuroma, but some don’t. It’s best to call our offices and we’ll check with your insurance company.

Can both feet be treated in the same visit?

Circumstances are different for each patient, but podiatrists almost always chooses to treat one neuroma at a time. Treating both feet during the same visit often causes an unnecessarily long recovery time.

I have both a Morton’s neuroma and a bursa problem. Can cryosurgery treat both?

These two conditions commonly occur together. Cryosurgery is an excellent treatment for both. Note that if the bursa is large and extremely inflamed, then a cortisone injection may also be necessary.

Does cryosurgery provide permanent relief?

The vast majority of patients have no recurrence of Morton’s neuroma, but recurrence is possible. A review of our case records shows that very few patients need a second treatment to resolve their symptoms.

Is there scientific evidence that cryosurgery is effective?

While not many large studies have been conducted, physicians who use cryotherapy generally get very good results. In our office in Robinson cryosurgery for Morton’s neuromas achieves an 70-80% success rate, and this is a conservative estimate. To put this question in perspective, there’s very little evidence that cortisone injections are effective for the long-term treatment of this condition.

Are there any pre- or post-care instructions for cryotherapy sessions?

Yes, there are pre- and post-care instructions that may be recommended for cryotherapy sessions to ensure safety and maximize the benefits. Here are some common guidelines:

Pre-care instructions for cryotherapy:

Stay hydrated: It’s important to drink plenty of water before your cryotherapy session to ensure adequate hydration, as the extreme cold temperatures can increase fluid loss.

Avoid alcohol and caffeine: Avoid consuming alcohol or caffeine before your cryotherapy session, as they can constrict blood vessels and potentially affect circulation.

Wear appropriate clothing: Follow the specific instructions provided by the cryotherapy center regarding what to wear during the session. Typically, you may be required to wear dry socks, gloves, and minimal clothing to allow for skin exposure to the cold.

Post-care instructions for cryotherapy:

Warm up gradually: After a cryotherapy session, it’s important to warm up gradually to allow your body to adjust to normal temperatures. Avoid jumping into a hot shower or hot tub immediately after the session, as it can cause extreme temperature changes and potentially harm the skin.

Can cryosurgery be used as a treatment for arthritis or other joint-related conditions?

Cryosurgery is not typically used as a primary treatment for arthritis or other joint-related conditions. However, it may be considered as a part of a multimodal approach in certain cases, particularly for pain relief.

Cryotherapy, which involves the application of extreme cold to the affected area, including joints, can help alleviate inflammation and reduce pain temporarily. However, it’s essential to consult with a healthcare professional to determine the most appropriate treatment plan for arthritis or joint-related issues.

How does cryosurgery affect blood vessels in the treated area?

Cryosurgery affects blood vessels in the treated area in several ways:

1.Vasoconstriction: Cryosurgery causes immediate vasoconstriction, or narrowing of blood vessels, in the treated area. This helps reduce blood flow and minimizes bleeding during the procedure.

2.Endothelial Damage: The extreme cold temperatures applied during cryosurgery can cause damage to the endothelial cells lining the blood vessels. This damage can lead to the formation of blood clots, which help seal off the blood vessels and reduce bleeding.

3.Thrombosis: Cryosurgery can induce thrombosis, or the formation of blood clots, within the treated blood vessels. This is a desired effect in many cases, as it helps occlude the vessels and prevent further bleeding.

4.Inflammation: Cryosurgery induces an inflammatory response in the treated area, which can lead to the formation of new blood vessels (angiogenesis) as part of the healing process.

Is cryosurgery painful during or after the procedure?

Cryosurgery is generally well-tolerated, with minimal discomfort during the procedure. Patients may experience a brief sensation of cold or burning at the treatment site. After the procedure, mild pain, swelling, and redness are common, but these symptoms typically resolve within a few days. Pain medication may be prescribed to manage any discomfort

I’ve heard cryosurgery can cause permanent numbness. Is this true?

It’s so rare it almost never happens. Occasionally patients experience a slight decrease in sensation, but this almost always goes away in a matter of weeks.

Sound Medical Technologies, Inc. offers several ESWT– related services. We provide trained staff and certified technicians to operate the equipment during ESWT procedures. Physician certifications, recommendations and our clinical applications specialist can answer all your questions.

Call Sound Medical Technologies to learn how you can have this technology available on a case-by-case basis, without purchase or lease. We deliver and set up the machine and provide you with educational materials for patients. Assist you in providing the procedure. You maintain control of the patient relationship. You receive the reimbursement into your practice.