J Korean Burn Soc.  2017 Jun;20(1):5-8. 10.0000/jkbs.2017.20.1.5.

Extracorporeal Shock Wave Therapy For Treatment of Intractable Stump Pain

Affiliations
  • 1Department of Rehabilitation Medicine, Hangang Sacred Heart Hospital, Hallym University, Burn Institute, Seoul, Korea. pmrseo@hallym.or.kr

Abstract

Amputation stump pains can be developed in amputation sites after high voltage electrical burn injuries. We experienced one case of these severe stump pains in an upper extremity amputation patient. A 35-year-old man had a 38% total body surface area high voltage electrical burn. The patient underwent skin grafting and left shoulder disarticulation. During the rehabilitation period, he complained about severe stump area pains and phantom pains. We injected 0.5% Bupivacaine and Triamcinolone on the stump neuroma site but the pain sustained. After extracorporeal shock wave therapy (ESWT,) the pain subsided and did not recur. The patient was satisfied with functional and pain outcomes, so we report this case.

Keyword

Extracorporeal shock wave therapy; Amputation; Electrical burn

MeSH Terms

Adult
Amputation
Amputation Stumps
Body Surface Area
Bupivacaine
Burns
Disarticulation
Humans
Neuroma
Phantom Limb
Rehabilitation
Shock*
Shoulder
Skin Transplantation
Triamcinolone
Upper Extremity
Bupivacaine
Triamcinolone
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