Korean J Pain.  2014 Jul;27(3):290-293. 10.3344/kjp.2014.27.3.290.

Pulsed Radiofrequency Ablation Under Ultrasound Guidance for Huge Neuroma

• Kim YK
• Jung I
• Lee CH
• Kim SH
• Kim JS
• Yoo BW

• KMID: 2278242
• DOI: http://doi.org/10.3344/kjp.2014.27.3.290

Abstract

Amputation neuroma can cause very serious, intractable pain. Many treatment modalities are suggested for painful neuroma. Pharmacologic treatment shows a limited effect on eliminating the pain, and surgical treatment has a high recurrence rate. We applied pulsed radiofrequency treatment at the neuroma stalk under ultrasonography guidance. The long-term outcome was very successful, prompting us to report this case.

Keyword

amputation; neuroma; pulsed radiofrequency treatment; ultrasonography

MeSH Terms

Amputation
Catheter Ablation*
Neuroma*
Pain, Intractable
Pulsed Radiofrequency Treatment
Recurrence
Ultrasonography*

Figure

• 

  Fig. 1 T1-weighted MR coronal image of right lower extremity. About 3.8 × 2.4 × 2.2 cm sized mass along distal sciatic nerve and proximal tibial nerve, posteirormid thigh. About 0.6 cm sized second small nodular mass along distal tibial nerve (2.8 cm under the upper mass). (A) Coronal view, (B) Sagital view (neuroma along distal sciatic nerve), (C) Sagital view (neuroma along distal tibial nerve).

• 

  Fig. 2 Image of pulsed radiofrequency ablation under ultrasound guidance for stalk of huge neuroma (transverse view).

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