### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
I been diagnosed with a neuroma in my left forearm and it has been giving me a lot of pain. I have numbness and tingling along with burning. I ha have d noticed to lump a few years ago but never botherd me. I had a test done to check for nerve damage. it only indicated slight nerve damage. I have headaches and ringing/fullness in my ears. I have always been physical. I can no longer carry usual weighted items in my left arm as I could before. The dr requested a second opinion. What else wo uld cause this?

### output:

Hello. Thanks for asking from Chat Doctor. I can understand your concern. The neuroma occurs after nerve damage to heal the damaged area. So whenever neuroma occurs, it means some nerve damage. It can cause severe burning pain due to abnormal nerve regeneration. Weakness of muscle and sensory loss occurs due to nerve damage. The management of neuroma is either conservative or surgical excision and repair of nerve. Conservative management is indicated: If there is no or mild symptoms: Symptom of burning pain only which is responsive to painkillers like Pregabalin/Gabapentin/Amitriptyline : Old neuroma of more than 2 years old witChatDoctorplete functional loss. Surgery at this stage usually does not cause any functional recovery. Surgery is indicated if: Intractable pain not responding to painkillers: Neuroma of less than 2 years with functional loss - Excising neuroma and joining nerve ends may lead to some functional recovery. But before deciding for surgery, nerve studies are done to find out the degree of damage, site of neuroma, affected muscle. You can correlate your features and consult neurosurgeon for further management. For headache and fullness in ear, it could be due to ear infection/upper respiratory tract infection, you should consult ENT specialist. After evaluation, he might prescribe painkillers, antibiotic therapy, decongestant, ear Chat Doctor. Hope it will help you. Thanks. Take care.