Scar tissue + pressure = ongoing pain

Scar tissue + pressure = ongoing pain. We often see patients who’ve had previous neuroma surgery with a plantar incision (on the sole of the foot). While the nerve pain may improve, the scar itself can become a new problem. When you cut through the weight-bearing surface of the foot, the body responds by laying down thicker skin. Over time, that scar: • Builds up callus • Becomes hard and prominent • Takes more pressure with walking • Turns painful again In this case, we’re carefully reducing the plantar callus that forms directly over the surgical scar. The goal isn’t cosmetic — it’s to: ✔ Reduce focal pressure ✔ Prevent cracking or breakdown ✔ Keep the area comfortable for walking ✔ Lower the risk of ulceration in higher-risk patients Unfortunately, once a plantar scar behaves like this, there’s rarely a permanent “fix.” The tissue doesn’t remodel back to normal weight-bearing skin. So the management plan becomes maintenance. For this patient, that means treatment approximately every six weeks to keep the build-up under control and prevent pain from escalating. If you’ve had neuroma surgery and still get discomfort under the foot, it may not be the nerve — it could be the scar. Regular podiatry care can make a significant difference. #PodiatryCare #NeuromaSurgery #FootPainRelief #ScarManagement #CallusRemoval