Surgery is an option once it is determined that the pain is from a neuroma and you are a good candidate for surgery. Dr. Klein will use nerve block to determine which nerve is causing the pain. This is performed in the office using local anesthetics similar to what a dentist would use in dental work. The nerve block should last several hours to see how the involved area will feel after surgery. Several hours later the pain will return that existed prior to the nerve block. This is a confirmatory exam to evaluate the appropriate response to what surgery may be able to do.