Peripheral Neuromodulation for the Treatment of Postamputation Neuroma Pain: A Case Report.
Neuroma pain can be severe, persistent, and treatment resistant. We present a case of a 37-year-old female amputee who suffered from severe neuroma pain, which had proved resistant to pharmacologic treatment, glycerol injections, spinal cord stimulation, radiofrequency thermocoagulation, and repeated surgical removals. After treatment with peripheral nerve stimulation, using a St. Jude Medical Octrode lead implanted percutaneously under ultrasound guidance close to her painful neuroma, her ongoing pain dramatically decreased from 8 to 3 on a numeric rating scale (0-10). Peripheral neuromodulation is a promising relatively new treatment that can be used for neuroma pain.
From the Departments of *Anesthesiology and †Neurosurgery, Aarhus University Hospital, Aarhus, Denmark.
Kaare
K
Meier
Thomas F
TF
Bendtsen
Jens Christian
JC
Sørensen
Lone
L
Nikolajsen
D000328:Adult; D000671:Amputation, Surgical / Q000009:adverse effects*; D005260:Female; D006801:Humans; D009463:Neuroma / Q000150:complications / Q000209:etiology / Q000628:therapy*; D059408:Pain Management / Q000379:methods*; D010147:Pain Measurement; D004561:Transcutaneous Electric Nerve Stimulation / Q000379:methods*; D016896:Treatment Outcome