We don't know for sure that it's a neuroma - we are going to go in, clean out all of the scar tissue, and send it out for histopathology, which will tell us whether a neuroma was involved in the scar tissue or not. We did a joint block/nerve block last week and the pain disappeared - totally. I had a level 8 pain on the left and 6 on the right side. After the block, the pain was literally a 0. As for muscle pain, I do massage on the trigger points, get trigger point injections from my pain management specialist at Hopkins, and use Lidoderm patches to cover the areas that hurt the most. If I need it, I have Percocet.
We didn't do an MRI to check for Neuroma, because there would be too many artifacts due to the replacements. We did do a CT scan to look at the hardware - it's fine and stable. The block seemed to definitively proof the pain was coming from the joints themselves. Dr. Warburton offered to send me up to Philadelphia to consult with an oral surgeon who has dealt with a lot of neuroma cases. I didn't really see the need after the blocks because the reduction in pain spoke volumes.
Get a CT scan and then have the blocks done to see if it's either the hardware or scar tissue. Evidently these neuromas show up around 6 months post-op, so it may be that you have one or excess scar tissue. Don't do surgery unless these two tests have been done.