I am 68 years old male in good general health.
In first cryo surgery, the doctor inserted the cryo from the bottom of the foot which touches the ground. The present podiatist says he will insert from the top and not the bottom to avoid scar tissue.My questions are:
1) What are the significant risks for going from the top? Is it better than going from the bottom.
2) Can you hit bones or nerves by going from the top?
3)Can I get foot drop by going from the top.
4)Is this cryo surgery very risk free? I can tolerate the pain but it is a regular problem.
5) Any other approach for the pain? I have already tried lyrica, lidocaine, CBD cream etc.
Thanks for your response.
Dear sir, I have gone through your question and I understand your concerns but there is no need to worry as the top and bottom results have comparable results .. They should be performed under guidance of an imaging device to avoid injury to any anatomical structures..
Risks of cryotherapy include irritation of near by structures or numbness , however they are mostly temporary..
Other approaches include analgesics to relive the pain along with vitamin b12 supplements.. That is why I would recommend that you get a blood test for vitamin b12 level to exclude it’s difficiency first before cryotherapy. I hope you find this helpful
I had previously taken substantial vitamin B12 but it did not help. My daily multi vitamin has 400 percent of RDA for B12.
My Podiatist will freeze the nerve at 2 places. He will go from the top at 2 places. The nerve location is same as that of mortons neuroma but little bit longer. In the location where the cryo probe will go in, are there any critical nerves? Are there any critical structures? What is the worst case.
The doctor will use an imaging device.
No, please don't worry
Dear Sir, Hello again...
It is very unlikely to cause damage to major nerves as the procedure is guided by an imaging technique to avoid any possible effect of anatomical structures...
However possible complications include inflammation of nearby tissues or numbness and tingling sensation; both of which are temporary in most cases.
I hope you find this helpful
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