Treatment of painful neuromas with neurolytic blockade.
In 10 patients with intractable pain from neuromas that developed after amputations or other surgery, 20 neuromas were treated with neurolytic blockade. In all cases surgical treatment had been unsuccessful. The blockades were performed with phenol-glycerol. Nine patients became asymptomatic, with no relapse occurring thus far during an observation period of 8-22 months. In 1 patient with 3 neuromas, only one neuroma was completely asymptomatic after a single blockade. This treatment may offer an alternative when surgical treatment has not been successful.
Kirvelä
Olli
O
Dept. of Anesthesiology, Turku University Central Hospita, SF-20520 Turku Finland Dept. of Surgery, Turku University Central Hospital, SF-20520 Turku Finland.
Nieminen
Seppo
S
D000328:Adult; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009463:Neuroma / Q000150:complications* / Q000601:surgery; D010146:Pain / Q000188:drug therapy* / Q000209:etiology; D010524:Peripheral Nervous System Neoplasms / Q000150:complications* / Q000601:surgery; D019800:Phenol; D010636:Phenols / Q000627:therapeutic use*
D010636:Phenols; D019800:Phenol