Brief Answer:
Neuromas are commonly due to the primary injury

Detailed Answer:
Hi,

Welcome to HealthCareMagic.com I am Dr.Bruno Mascarenhas, and I will answer your queries. I have read your question with care and understand that you have had an accident involving your pinky toe and it was treated by Internal Fixation (putting a pin) instead of External Fixation (Wrapping)

Few months after that, you had developed a severe, razor sharp pain in your foot. You had done a MRI, was diagnosed with Neuromas and have undergone Surgery to Freeze the Nerve Ends. You have been also diagnosed with Chronic Pain Syndrome.

Let us see the basic info about your condition
1. 89% of Complex Regional Pain Syndromes follow trauma, notably fractures.
2. Other causes are sprains/strains, soft tissue injury (such as burns, cuts, or bruises), limb immobilization (such as being in a cast), or surgical or medical procedures
3. The most common neural diagnoses contributing to CRPS are neuroma, neuroma-in-continuity, and secondary compression neuropathies.
4. Sensory neuromas are highly sensitive bundles of scar tissue that can form when a nerve is injured

It is most likely that nerves were injured when you broke your pinky toe and this has contributed to the present conditions.

Nerves in your feet run from Heel of the Foot to the Front of the Foot. They are not commonly injured by pins which also are put in the same direction (Front to Back)

When there is an injury which is severe enough to break the toe, the pressure must have been so high that even bone has been broken. Such High Pressure would have injured the nerve too. It is also likely that nerves of other places also must have been injured.

Bone requires more force to break while less pressure can injure the nerve. That is the reason other bones did not break. But Other nerves would have been injured.

Coming to your specific Question : Should the dr just wrapped my pinky toe up and let hit heal that way.

My Answer is : Complex Regional Pain Syndrome occurs after fracture, in individuals who are predisposed for it. It can occur in both Internal Fixation as well as in External Fixation

So, even if your doctor had wrapped your pinky toe up and let it heal that way, you would have still developed this

Treatment of Complex Regional Pain Syndrome involves a multidisciplinary treatment, including physical therapy, psychological support, and pain-relieving measures

Hope you found the answer helpful.

If you need any clarification / have doubts / have additional questions / have follow up questions, then please do not hesitate in asking again. I will be happy to answer your questions.

Best Wishes for Speedy Recovery
Let me know if I can assist you further.
Take care.

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