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Pulsed radiofrequency of brachial plexus under ultrasound guidance for refractory stump pain: a case report

Authors Zheng B, Song L, Liu H

Received 6 August 2017

Accepted for publication 10 October 2017

Published 7 November 2017 Volume 2017:10 Pages 2601—2604


Checked for plagiarism Yes

Review by Single anonymous peer review

Peer reviewer comments 2

Editor who approved publication: Dr Katherine Hanlon

Bixin Zheng, Li Song, Hui Liu

Department of Pain Management, West China Hospital of Sichuan University, Chengdu, China

Abstract: The post-amputation (pain) syndrome, including stump pain, phantom limb sensation, and phantom limb pain is common but difficult to treat. Refractory stump pain in the syndrome is an extremely challenging and troublesome clinical condition. Patients respond poorly to drugs, nerve blocks, and other effective treatments like spinal cord stimulation and surgery. Pulsed radiofrequency (PRF) technique has been shown to be effective in reducing neuropathic pain. This report describes a patient with persistent and refractory upper limb stump pain being successfully relieved with PRF of brachial plexus under ultrasound guidance after a 6-month follow-up period, suggesting that PRF may be considered as an alternative treatment for refractory stump-neuroma pain.

Keywords: ultrasound guidance, pulsed radiofrequency, brachial plexus, refractory stump pain

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