Montana Buntragulpoontawee, C. Hung, Jeeranan Rapipong, Ke-Vin Chang
{"title":"Ultrasound-Guided Steroid Injection to the Residual Limb Stalk Facilitated the Treatment of a Painful Above-Knee Residual Limb Neuroma","authors":"Montana Buntragulpoontawee, C. Hung, Jeeranan Rapipong, Ke-Vin Chang","doi":"10.3109/10582452.2014.995854","DOIUrl":null,"url":null,"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.","PeriodicalId":91773,"journal":{"name":"Myopain","volume":null,"pages":null},"PeriodicalIF":0.0000,"publicationDate":"2015-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3109/10582452.2014.995854","citationCount":"1","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Myopain","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.3109/10582452.2014.995854","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 1
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.