Inclusion Criteria:  18 years or older History of unilateral digit, multiple digit, or partial hand amputation Discrete neuroma pain on clinical exam Following standard of care (SOC), confirmation through a local block and/or ultrasound imaging will be performed if indicated Must be seen by a hand therapist for at least 6-week trial of desensitization therapy  Exclusion Criteria:  Patients with previous surgical treatment for symptomatic neuromas of the digits or hand Patients with other major injuries more proximal in the ipsilateral extremity that cause chronic pain or functional loss women pregnant at time of enrollment prisoners adults who are unable to consent