Neuroma-Associated Pain Management After Combat-Related Trauma in Ukraine

Inclusion Criteria: * Age 18 years or older * Sustained combat-related trauma * Clinically significant neuroma-associated pain localized to a peripheral nerve or neuroma * Moderate to severe pain (score ≥ 4 on a standardized numeric pain rating scale) * Medically stable and able to undergo a percutaneous interventional procedure * Able to understand and provide written informed consent * Willing and able to comply with study procedures, including follow-up assessments and patient-reported outcome measures * May be receiving standard analgesic therapy, including opioids, if usage can be monitored * No planned surgical intervention at the neuroma site during the study period that could interfere with pain assessment Exclusion Criteria: * Age under 18 years * Pregnant or breastfeeding * Severe uncontrolled medical comorbidities that preclude safe participation * Active infection at or near the proposed intervention site * Known coagulopathy or use of anticoagulants that cannot be safely withheld * Previous cryoablation or radiofrequency ablation at the target neuroma within the past 6 months * Inability to provide informed consent or comply with study procedures * Participation in another interventional clinical trial that could interfere with study outcomes * Known allergy or intolerance to materials used during the procedures