Ultrasound-Guided Steroid Injection to the Residual Limb Stalk Facilitated the Treatment of a Painful Above-Knee Residual Limb Neuroma. Issue 1 (3rd April 2015)

• Record Type: Journal Article
• Authors: Buntragulpoontawee, Montana; Hung, Chen-Yu; Rapipong, Jeeranan; Chang, Ke-Vin
• Is Part Of: Myopain. Volume 23:Issue 1/2(2015)
• Page Start: 52
• Page End: 55
• Publication Date: 2015-04-03
• Subjects: Amputation -- neuroma -- pain -- ultrasound -- steroid injection; Nonarticular rheumatism -- Periodicals; Myalgia -- Periodicals; Musculoskeletal system -- Diseases -- Periodicals; Pain -- Periodicals; Fibromyalgia; Myofascial Pain Syndromes; Musculoskeletal system -- Diseases; Myalgia; Nonarticular rheumatism; Pain; Periodicals; Periodicals; 616.742
• DOI: 10.3109/10582452.2014.995854
• Languages: English
• ISSNs: 2470-8593

Abstract

Abstract: Background : A post-amputation neuroma can cause chronic persistent residual limb pain in amputees. Painful neuromas are difficult to identify with clinical examination alone because most of them are deeply buried. Findings : We presented a patient with pain over his left above-knee residual limb, aggravating 40 years after amputation. The pain originated from a previously undetected neuroma and was relieved following a single dose of ultrasound-guided steroid injection to the neuroma stalk. Conclusion : Ultrasound is beneficial for differentiating the cause of residual limb pain and a single corticosteroid injection targeting the neuroma stalk appeared effective for pain relief.