B403 Peripheral nerve block for phantom limb pain – more than a temporary fix. (11th August 2022)
- Record Type:
- Journal Article
- Title:
- B403 Peripheral nerve block for phantom limb pain – more than a temporary fix. (11th August 2022)
- Main Title:
- B403 Peripheral nerve block for phantom limb pain – more than a temporary fix
- Authors:
- Sales, F
Maldonado, AF
Torres, J - Abstract:
- Abstract : Background and Aims: Phantom limb pain is associated with depression, poor quality of life, and work incapacity. Despite being a relatively widespread condition, it still presents a challenge and is often poorly responsive to treatment. Methods: We report the successful use of a single-shot peripheral nerve block in a patient with phantom toe pain. A 35-year-old obese woman with psoriasis was referred to the Chronic Pain Unit due to neuropathic pain in the left foot with phantom pain in the 2nd toe. She had a history of pyoderma gangrenosum circumscribed to the left foot and required 2nd toe amputation 4 years prior. She described intense stabbing and pinprick pain in the sole and lateral region of the foot, with allodynia and hyperalgesia. The pain was worsened by walking (10/10 vs 3/10 at rest) and cold. The patient had been prescribed gabapentin which she did not tolerate, and tramadol + dexketoprofen which caused hepatic toxicity. We performed an ultrasound-guided posterior tibial nerve block and deep and superficial peroneal nerve block with 0.2% ropivacaine. Results: The next day, the pain improved significantly (2/10) and phantom pain ceased. The patient was able to return to work as a factory employee one month after the procedure, the pain remained controlled with oral medication only. Phantom pain never recurred during the one-year follow-up. Conclusions: Peripheral nerve blocks are valuable techniques in phantom pain management. A single-shot nerveAbstract : Background and Aims: Phantom limb pain is associated with depression, poor quality of life, and work incapacity. Despite being a relatively widespread condition, it still presents a challenge and is often poorly responsive to treatment. Methods: We report the successful use of a single-shot peripheral nerve block in a patient with phantom toe pain. A 35-year-old obese woman with psoriasis was referred to the Chronic Pain Unit due to neuropathic pain in the left foot with phantom pain in the 2nd toe. She had a history of pyoderma gangrenosum circumscribed to the left foot and required 2nd toe amputation 4 years prior. She described intense stabbing and pinprick pain in the sole and lateral region of the foot, with allodynia and hyperalgesia. The pain was worsened by walking (10/10 vs 3/10 at rest) and cold. The patient had been prescribed gabapentin which she did not tolerate, and tramadol + dexketoprofen which caused hepatic toxicity. We performed an ultrasound-guided posterior tibial nerve block and deep and superficial peroneal nerve block with 0.2% ropivacaine. Results: The next day, the pain improved significantly (2/10) and phantom pain ceased. The patient was able to return to work as a factory employee one month after the procedure, the pain remained controlled with oral medication only. Phantom pain never recurred during the one-year follow-up. Conclusions: Peripheral nerve blocks are valuable techniques in phantom pain management. A single-shot nerve block may relieve phantom pain for an extended period and allow patients to return to work. … (more)
- Is Part Of:
- Regional anesthesia and pain medicine. Volume 47(2022)Supplement 1
- Journal:
- Regional anesthesia and pain medicine
- Issue:
- Volume 47(2022)Supplement 1
- Issue Display:
- Volume 47, Issue 1 (2022)
- Year:
- 2022
- Volume:
- 47
- Issue:
- 1
- Issue Sort Value:
- 2022-0047-0001-0000
- Page Start:
- A274
- Page End:
- A275
- Publication Date:
- 2022-08-11
- Subjects:
- Conduction anesthesia -- Periodicals
Pain medicine -- Periodicals
617.964 - Journal URLs:
- http://www.rapm.org/ ↗
https://journals.lww.com/rapm/pages/default.aspx ↗
http://www.sciencedirect.com/science/journal/10987339 ↗
https://rapm.bmj.com/ ↗
http://journals.lww.com ↗ - DOI:
- 10.1136/rapm-2022-ESRA.479 ↗
- Languages:
- English
- ISSNs:
- 1098-7339
- Deposit Type:
- Legaldeposit
- View Content:
- Available online (eLD content is only available in our Reading Rooms) ↗
- Physical Locations:
- British Library DSC - 7336.572210
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