Year 2021 / Volume 28 / Number 4

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Cilinical Note

Treatment by ultrasound-guided neurolysis with 6 % aqueous phenol of the pain component for post-amputation neuromas: report of a clinical case

Rev. Soc. Esp. Dolor. 2021; 28(4): 239-241 / DOI: 10.20986/resed.2021.3928/2021

Paula Arauzo, Rocío Periñán, María Arnaudas, Sofía Bes, Jordi Recasens, Sergi Boada


ABSTRACT

Introduction: Magement of pain caused by neuromas is in itself complex. The treatment options once the surgical route has been ruled out are few, although the impact that this pain produces in the lives of patients makes it necessary to look for alternative cases that offer acceptable control of it.
The objective is to present neurolysis as an effective alternative for pain due to neuromas.
Case report: Descriptive and retrospective case report of a patient belonging to the National Health System, carried out by the Pain Unit of the Anesthesiology and Resuscitation Service of the Hospital Universitario Joan XXIII.
59-year-old patient who, after refusing surgery, underwent ultrasound-guided neurolysis with 6 % aqueous phenol for the treatment of pain due to neuromas derived from the amputation of both upper limbs.
Discusion: Infiltration with 6 % aqueous phenol can considerably reduce pain, for a time equal to or greater than 6 months, granting a significant improvement in the quality of life of patients.



RESUMEN

Introducción: El tratamiento del dolor producido por neuromas es en sí complejo. Las opciones de tratamiento una vez se ha descartado la vía quirúrgica son pocas, si bien el impacto que dicho dolor produce en la vida de los pacientes obliga a buscar en estos casos alternativas que ofrezcan un control aceptable del mismo.
El objetivo es presentar la neurólisis como una alternativa eficaz para el dolor por neuromas.
Caso clínico: Reporte de caso, descriptivo y retrospectivo, de paciente perteneciente al Sistema Nacional de Salud, llevado a cabo por la Unidad de Dolor del Servicio de Anestesiología y Reanimación del Hospital Universitario Joan XXIII.
Paciente de 59 años a quien, tras rechazar la cirugía, se le realizó neurólisis ecoguiada con fenol al 6 % acuososo para el tratamiento del dolor por neuromas derivados de la amputación de ambos miembros superiores.
Discusión: La infiltración con fenol 6 % acuoso puede llegar a disminuir considerablemente el dolor durante un tiempo igual o superior a los 6 meses, otorgando una mejoría significativa en la calidad de vida de los pacientes.





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Bibliografía

1. Adams MCB, Benzon HT, Hurley RW. Practical Management of Pain. Elsevier: Mosby; 2014. p. 784-93.
2. Gruber H, Kovacs P, Peer S, Frishchhut S, Bodner G. Sonographically guided phenol injection in painful stump neuroma. AJR Am J Roentgenol. 2004;182(4):952-4.
DOI: 10.2214/ajr.182.4.1820952
3. Curatolo M, Eichenberger U. Techniques in Regional Anesthesia and Pain Management. Elsevier; 2007. p. 95-102.
DOI: 10.1053/j.trap.2007.02.012
4. Magnan B, Samaila E, Schirru L, Maluta T, Luppi V, Valentini R. Phenol injection for Morton's neuroma under elettroneurographic guidance. Foot Ankle Surg. 2017;23(S1):23-5.
DOI: 10.1016/j.fas.2017.07.1115

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Instrucciones para citar

Arauzo P, Periñán R, Arnaudas M, Bes S, Recasens J, Boada S, et all. Treatment by ultrasound-guided neurolysis with 6 % aqueous phenol of the pain component for post-amputation neuromas: report of a clinical case. Rev Soc Esp Dolor 2021; 28(4): 239-241 / DOI: 1020986/resed20213928/2021


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