A scar neuroma injection may help evaluate or temporarily reduce selected nerve-related scar pain after surgery, trauma, or injury.
Learn how Dr. Siefferman performs scar neuroma injections to diagnose and treat persistent nerve pain that can develop after surgery or injury.
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Hi, I’m Dr. Jason Siefferman, interventional pain specialist and medical director at Manhattan Pain Medicine. For patients having persistent postsurgical pain at the incision site, sometimes there is a scar neuroma. A scar neuroma is where a peripheral nerve was caught in the surgical site and as the surgical site healed, that nerve was caught in the scar tissue of the healing process.
What happens then is that nerve attempts to regenerate from where it was cut, but that ball of tentacles of nerve fibers that are trying to reconnect is caught in the scar tissue. So, there’s a bulb that is hypersensitized. Generally, patients can identify this because there’s almost a zing or a doorbell that occurs when we press right on that spot. If this happens, the fix is relatively straightforward. This is one place where we will use either scar dissolving medicine, steroid, or PRP to help regenerate that tissue and take away this pain.
A scar neuroma injection is a targeted procedure used to evaluate or temporarily reduce selected nerve-related pain in or around a scar. A scar neuroma may develop when a nerve is injured, irritated, or trapped after surgery, trauma, laceration, or scar formation. Pain may feel burning, electric, shooting, hypersensitive, or sharply localized.
At Manhattan Pain Medicine, scar neuroma injection NYC care begins with diagnosis-first evaluation. The goal is to determine whether a painful scar is related to nerve injury, neuroma formation, peripheral nerve entrapment, CRPS, tissue adhesion, infection, recurrent surgical pathology, or another pain generator.
MPM specialists evaluate whether a scar neuroma injection may be appropriate by carefully mapping scar pain to nerve anatomy. Scar-related pain may come from a traumatic neuroma, peripheral nerve entrapment, scar hypersensitivity, tissue adhesion, inflammation, complex regional pain syndrome, recurrent surgical pathology, tendon or joint pain, or centralized pain.
MPM reviews the surgical or trauma history, scar sensitivity, pain quality, distribution, triggers, numbness, tingling, prior imaging, prior injections, medications, rehabilitation history, and red flags. This helps determine whether a scar neuroma injection, nerve hydrodissection, peripheral nerve stimulation, neuromodulation, medication management, rehabilitation, surgical evaluation, or another pathway may be appropriate.
Patients often search for a scar neuroma injection in Manhattan when pain persists after surgery, trauma, laceration, orthopedic procedures, abdominal or pelvic procedures, or nerve injury. Symptoms may include burning, tingling, electric shock sensations, sharp pain, hypersensitivity to touch, pain around a surgical scar, or pain that radiates from the scar into a nearby nerve territory.
MPM approaches scar neuroma injections as a precision tool, not a generic scar treatment or permanent cure. An injection may help confirm whether a painful nerve or neuroma is contributing to symptoms and may provide temporary relief for selected patients. Even short-term relief can be clinically useful because it may guide next steps. Depending on the response, the care plan may include nerve hydrodissection, peripheral nerve stimulation, neuromodulation, medication management, pain psychology, desensitization work, rehabilitation, or surgical consultation when appropriate.
Scar neuroma injections fit within MPM’s Complex Chronic Pain and Musculoskeletal issues expertise because post-surgical and post-traumatic pain often involve overlapping tissue, nerve, and nervous system factors. A patient may have a painful scar, traumatic neuroma, peripheral nerve entrapment, joint or tendon pain, CRPS overlap, movement-related pain, or chronic pain sensitization.
MPM uses scar neuroma injections as part of a broader diagnostic and treatment framework. The injection may provide useful information and temporary relief, but it is rarely the entire answer. Treatment planning may also include ultrasound-guided injections, nerve hydrodissection, peripheral nerve stimulation, neuromodulation, medication management, rehabilitation, pain psychology, desensitization strategies, or surgical evaluation when needed. The goal is to match treatment to the actual pain generator and the patient’s broader clinical picture.
Before a scar neuroma injection, MPM reviews the scar history, suspected nerve target, pain pattern, prior treatments, medication history, risks, alternatives, and post-procedure instructions. The injection is directed toward the painful scar-related nerve area or suspected neuroma. Ultrasound guidance may be used when appropriate to evaluate the region, identify nearby structures, and support injection planning.
Patients may feel pressure, brief discomfort, temporary numbness, warmth, soreness, or a short pain flare after the injection. Relief may be temporary and may last hours, days, or longer depending on the medication used and the patient’s condition. Some patients may not respond. MPM reviews the response after the injection to determine whether the scar neuroma or nerve target appears clinically meaningful and whether additional nerve-focused care should be considered.
I cannot say enough good things about Manhattan Pain Medicine. From the moment I walked in, I felt truly cared for and taken seriously. Dr. Nino Mikaberidze, Director of Rheumatology, is exceptional — knowledgeable, compassionate, and incredibly thorough. She takes the time to listen, explains every...
The best care I've received as a chronic pain patient. I traveled from out of state to visit Manhattan Pain Medicine because I could not find knowledgeable doctors in my hometown for my hypermobility, and Ehlers-Danlos syndrome symptoms and comorbidities. Let me tell you, it was worth every travel e...
I was injured in a bicycle accident over 8 years ago. I’ve suffered throughout the years since my accident with nothing seeming to work. PT, Yoga, lifestyle changes, NOTHNG! I finally made an appointment with Dr Kane and I’m feeling an improvement in my life. I no longer stay up all night in pain, a...
One of the best experiences, if not the best, I have ever had at the doctor’s office. From the front desk to the nurses to the PA assisting the doctor this was a great experience. Dr.Nino actually listened to me and came up with a game plan. Would recommend this practice to as many people as I could...
I have very unique & severe nerve pain from CRPS which has no known specific cure. Dr. Siefferman has a huge tool box, far greater than the other 23 Drs. I have seen. He saved me from jumping off a bridge and continues to help me with both treatments and advice. Dr. S. is in a different league!
After two years of searching and feeling lost and let down, I finally found real help at Manhattan Pain Medicine. With Dr. Siefferman, Adam Rosenberg, Dr. Mikaberidze, and the whole team, I feel heard, supported and understood. Every symptom is being considered and I’m finally getting answers with m...
Why is Dr Dr. Tayyaba Ahmed one of the top pevic Floor specialists - 1- She wants to know a full history of what led the patient to get to this point. 2 - She listens intensley to the patient 3- She does not rush you 4- Extremely skilled at giving pelvic floor injections 5- I thank my luck stars she...
The staff was friendly and helpful. Dr. Siefferman was thoughtful, listened, asked questions and proposed simple safe ways to come to further conclusions regarding my pain and discomfort. The office staff including Dr. Siefferman is responsive even after the initial in-person visit. Very pleased.
Dr. Siefferman is a brilliant provider. While my pain is still a work in progress, Dr Siefferman always gives me options and explains his reasoning behind things. He listens to my feedback and concerns. I never feel rushed; and am grateful he works to meet me where I am. I highly recommend him.
What a great find! They listen to me, I listen to them and the diagnosis is made and a plan developed to develop an approach to treat all of my chronic pain. I wish I could have discovered this type of treatment sooner. This doctor and group give me hope.
A scar neuroma is a painful nerve-related change that may develop after a nerve is injured, irritated, or trapped during surgery, trauma, laceration, or scar formation. The affected nerve may become hypersensitive and produce localized or radiating pain. Scar neuroma pain may feel burning, shooting, electric, tingling, or extremely sensitive to touch. At MPM, evaluation begins by determining whether the scar itself, a nearby nerve, or another pain source is driving symptoms.
A scar neuroma may occur when a nerve is cut, stretched, compressed, irritated, or disrupted after surgery or injury. As the nerve attempts to heal, it may form a sensitive nerve ending or become trapped in scar tissue. Scar neuroma pain can also overlap with peripheral nerve entrapment, tissue adhesion, inflammation, post-surgical changes, or CRPS. MPM evaluates the surgical or trauma history and pain distribution before recommending treatment.
Scar neuroma pain often feels burning, electric, shooting, stabbing, tingling, hypersensitive, or sharply localized near a scar. Some patients feel pain when clothing touches the area, when they press on the scar, or when they move nearby tissue. Pain may also radiate into a nerve territory. Similar symptoms can occur with peripheral nerve entrapment, CRPS, infection, inflammation, or recurrent surgical pathology, so careful evaluation is important.
Yes, a scar neuroma or scar-related nerve injury may cause burning, shooting, electric, tingling, or shock-like pain. These symptoms can suggest nerve involvement, especially when pain is localized to a scar or radiates from the scar into a nearby nerve pathway. However, nerve-like pain can have several causes. MPM evaluates whether symptoms are consistent with a scar neuroma, nerve entrapment, CRPS, tissue irritation, or another pain generator.
A scar neuroma injection is a targeted injection placed near a suspected painful nerve or neuroma in or around a scar. It may include local anesthetic, sometimes with corticosteroid or another medication when clinically appropriate. The goal may be diagnostic, therapeutic, or both. A scar neuroma injection NYC evaluation at MPM focuses on determining whether the scar-related nerve target is likely contributing to pain before treatment is recommended.
A scar neuroma injection can be diagnostic, therapeutic, or both. A diagnostic injection helps determine whether the suspected scar neuroma or nerve target is contributing to pain. A therapeutic injection is intended to reduce symptoms for a period of time. Relief is often temporary, but it can still be clinically useful. MPM reviews the location, degree, and duration of relief before recommending next steps.
Ultrasound guidance may be used for selected scar neuroma injections when it supports anatomical precision and safety. Ultrasound can help evaluate scar tissue, nearby soft tissue, vessels, and possible nerve-related structures in selected cases. It does not guarantee relief, but it may help improve targeting. MPM determines whether ultrasound guidance is appropriate based on the scar location, symptoms, anatomy, and treatment goal.
Relief varies by patient, medication used, nerve sensitivity, diagnosis, and pain mechanism. Some patients may experience relief for hours, while others may have relief for days or longer. Some patients may not respond. Even temporary relief can be useful if it helps confirm that a scar-related nerve target is involved. MPM uses the response to guide next steps in the treatment plan.
Temporary relief can still be meaningful. It may suggest that the scar neuroma or nearby nerve is contributing to the pain. Depending on the response, MPM may consider medication management, desensitization work, nerve hydrodissection, peripheral nerve stimulation, neuromodulation, rehabilitation, pain psychology, repeat evaluation, or surgical consultation. If relief is incomplete or does not match the expected pattern, the diagnosis may need to be refined.
A scar neuroma usually refers to a painful nerve ending or nerve-related growth after nerve injury. Peripheral nerve entrapment refers to a nerve being compressed or restricted by surrounding tissue, which may include scar tissue, fascia, muscle, or other structures. The two can overlap. A patient may have both a painful neuroma and nerve entrapment near a scar. MPM evaluates the nerve pathway and scar region before recommending treatment.
Scar neuroma pain is usually more localized to a scar or specific nerve territory. CRPS can involve broader regional pain, swelling, color or temperature changes, sweating changes, sensitivity, stiffness, and movement difficulty. The two can sometimes overlap after surgery or trauma. MPM evaluates the pain distribution, skin changes, sensitivity, swelling, movement tolerance, and nerve findings to determine whether the symptoms suggest scar neuroma, CRPS, or another condition.
Scar neuroma injections may be part of a broader nerve-focused treatment plan. If an injection provides temporary relief, that response may help guide consideration of nerve hydrodissection, peripheral nerve stimulation, neuromodulation, or other treatments when clinically appropriate. These options are not automatic and depend on the diagnosis, anatomy, prior treatment response, safety factors, and patient goals. MPM reviews each step carefully before recommending escalation.
Risks may include pain flare, bruising, bleeding, infection, allergic reaction, temporary numbness or weakness, nerve irritation, vascular injury, local anesthetic toxicity, steroid-related side effects when steroids are used, incomplete relief, temporary relief only, or no relief. MPM reviews these risks before treatment. Fever, spreading redness, drainage, severe swelling, wound opening, new weakness, new numbness, limb discoloration, loss of pulses, severe allergic reaction, or rapidly worsening symptoms require urgent evaluation.
Scar pain should be evaluated urgently when it occurs with fever, spreading redness, drainage, severe swelling, wound opening, severe post-surgical pain with systemic symptoms, rapidly spreading pain, new weakness, new numbness, limb discoloration, loss of pulses, suspected infection, severe allergic reaction, or rapidly worsening symptoms. New or worsening pain after surgery or trauma should not automatically be assumed to be a scar neuroma. MPM screens for urgent causes before recommending treatment.
Before care begins, our team helps patients understand the practical side of treatment, including insurance verification, out-of-network benefits, cost-share estimates, self-pay options, and billing questions. We believe patients should have as much clarity as possible before moving forward.
If you are considering a scar neuroma injection in NYC for painful scar tissue, post-surgical nerve pain, traumatic neuroma pain, burning or electric scar sensitivity, peripheral nerve entrapment, or chronic pain after injury or surgery, MPM can help determine whether this treatment may be appropriate. Your evaluation will consider your scar history, symptoms, anatomy, prior care, safety factors, and care goals before any recommendation is made.
A scar neuroma injection is a targeted procedure used to evaluate or temporarily reduce selected nerve-related pain in or around a scar. Scar neuroma pain may develop after surgery, trauma, laceration, orthopedic procedures, abdominal or pelvic procedures, or other injuries that affect a nerve.
At Manhattan Pain Medicine (MPM), scar neuroma injection NYC care begins with diagnosis-first evaluation. The goal is to determine whether pain is coming from a scar neuroma, peripheral nerve entrapment, scar hypersensitivity, tissue adhesion, CRPS, infection, recurrent surgical pathology, joint or tendon pain, or another pain generator.
A scar neuroma may form when a nerve is injured, irritated, compressed, or disrupted during surgery or trauma. As the nerve heals, it may become hypersensitive or form a painful nerve ending. Scar tissue may also restrict or irritate a nearby nerve, creating symptoms that feel burning, electric, tingling, stabbing, shooting, or unusually sensitive to light touch.
Some patients notice pain only when the scar is pressed. Others feel pain that radiates into a nearby region. Some have numbness, hypersensitivity, or mixed symptoms. These patterns can help MPM determine whether the pain is likely nerve-related.
Scar pain can come from many sources. A painful scar may reflect nerve injury, traumatic neuroma, peripheral nerve entrapment, tissue adhesion, local inflammation, scar sensitivity, infection, surgical complications, tendon or joint pathology, CRPS, or centralized pain. In some patients, several contributors are present at the same time.
This is why MPM does not treat scar neuroma injection as a generic scar treatment. The evaluation focuses on the patient’s surgical or trauma history, pain quality, scar sensitivity, sensory changes, nerve territory, functional impact, prior treatments, and red flags. Ultrasound evaluation may be used when appropriate to help assess the region and support injection planning.
A scar neuroma injection may be diagnostic, therapeutic, or both. A diagnostic injection helps determine whether the suspected painful nerve or neuroma is contributing to symptoms. If the patient has temporary relief in the expected area, that response may support the scar-related nerve target as clinically meaningful.
A therapeutic injection is intended to reduce symptoms for a period of time. Relief may last hours, days, or longer depending on the medication used and the pain mechanism. Some patients may not respond. MPM uses the timing, degree, and location of relief to help guide the next step.
Ultrasound guidance may be used for selected scar neuroma injections. It can help evaluate the painful region, nearby soft tissue, vessels, and possible nerve-related structures in certain cases. It may also help guide medication placement around a suspected nerve target.
Ultrasound guidance does not guarantee relief. The most important step is matching the injection target to the patient’s symptoms, exam findings, and clinical history. MPM determines whether ultrasound guidance is appropriate based on anatomy, scar location, and treatment goals.
A scar neuroma injection places medication near a suspected painful scar-related nerve target. Nerve hydrodissection may be considered when a nerve appears restricted by surrounding tissue and fluid is used to separate tissue planes around the nerve. Peripheral nerve stimulation may be considered in selected chronic nerve pain cases when less invasive treatment has not provided enough relief and the nerve target is appropriate.
A response to scar neuroma injection can help guide these decisions. Temporary relief may suggest that a nerve-focused treatment pathway should be considered. Limited or no relief may suggest another diagnosis or the need for further evaluation.
Persistent scar pain can affect movement, sleep, clothing tolerance, work, exercise, and emotional wellbeing. Some patients also develop fear of touch or movement after repeated pain flares. MPM may coordinate scar neuroma treatment with medication management, rehabilitation, desensitization work, pain psychology, nerve hydrodissection, peripheral nerve stimulation, neuromodulation, or surgical consultation when appropriate.
The goal is not simply to numb the scar. The goal is to understand the pain generator and build a medically responsible plan that matches the patient’s condition.
Risks may include pain flare, bruising, bleeding, infection, allergic reaction, temporary numbness or weakness, nerve irritation, vascular injury, local anesthetic toxicity, steroid-related side effects when steroids are used, incomplete relief, temporary relief only, or no relief.
Patients should seek urgent evaluation for fever, spreading redness, drainage, severe swelling, wound opening, new weakness, new numbness, rapidly spreading pain, limb discoloration, loss of pulses, severe allergic reaction, severe post-surgical pain with systemic symptoms, suspected infection, or rapidly worsening symptoms.
For selected patients, scar neuroma injection may be an important step in understanding post-surgical or post-traumatic nerve pain. MPM’s role is to determine whether the scar-related nerve target is clinically appropriate and how the injection fits within a coordinated pain care plan.
