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Pulsed Radiofrequency of Brachial Plexus Under Ultrasound Guidance for Refractory Stump Pain: a Case Report

Overview
Journal J Pain Res
Publisher Dove Medical Press
Date 2017 Nov 22
PMID 29158692
Citations 2
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Abstract

The post-amputation (pain) syndrome, including stump pain, phantom limb sensation, and phantom limb pain is common but difficult to treat. Refractory stump pain in the syndrome is an extremely challenging and troublesome clinical condition. Patients respond poorly to drugs, nerve blocks, and other effective treatments like spinal cord stimulation and surgery. Pulsed radiofrequency (PRF) technique has been shown to be effective in reducing neuropathic pain. This report describes a patient with persistent and refractory upper limb stump pain being successfully relieved with PRF of brachial plexus under ultrasound guidance after a 6-month follow-up period, suggesting that PRF may be considered as an alternative treatment for refractory stump-neuroma pain.

Citing Articles

Ultrasound-Guided Continuous Radiofrequency Ablation Of Painful Residual Limb Neuroma In Individuals With Limb Amputation-A Retrospective Case Series.

Guo S, Mansour R, Henderson Slater D Can Prosthet Orthot J. 2023; 2(1):33061.

PMID: 37614805 PMC: 10443475. DOI: 10.33137/cpoj.v2i1.33061.


A case of phantom pain and stump pain that was effectively controlled by ultrasound-guided ulnar and median peripheral nerve blocks.

Sekiguchi S, Ishida Y, Fujita Y, Tomino M, Ohseto K Clin Case Rep. 2023; 11(7):e7672.

PMID: 37434961 PMC: 10332250. DOI: 10.1002/ccr3.7672.

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