Radiofrequency thermocoagulation worked well for phantom limb pain and stump pain

  • INO Hirofumi
    Department of Anesthesiology, Faculty of Medicine, University of Yamanashi
  • NAKADATE Yousuke
    Department of Anesthesiology, Faculty of Medicine, University of Yamanashi
  • ASANO Nobumasa
    Department of Anesthesiology, Faculty of Medicine, University of Yamanashi
  • TERADA Yukihide
    Department of Anesthesiology, Fujimi-kogen Hospital
  • UCHIDA Masako
    Department of Anesthesiology, Faculty of Medicine, University of Yamanashi
  • MATSUKAWA Takashi
    Department of Anesthesiology, Faculty of Medicine, University of Yamanashi

Bibliographic Information

Other Title
  • 高周波熱凝固法が著効した幻肢痛と断端痛
  • 症例 高周波熱凝固法が著効した幻肢痛と断端痛
  • ショウレイ コウシュウハ ネツ ギョウコホウ ガ チョコウシタ ゲンシツウ ト ダンタンツウ

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Description

Treatment of phantom limb pain and stump pain remains difficult. This case report describes successful management of phantom limb pain and stump pain using radiofrequency thermocoagulation. A woman in her 70s lost her left arm at the forearm while at work 1 year ago. When we first saw her, she felt a phantom limb tightly clenched and lightning pain in its fingers. She also felt allodynia on the stump. We diagnosed phantom limb pain and stump pain. After Kampo medicine treatment for 1 year and 6 months, the phantom hand was unclenched, but the lightning pain on the phantom fingers and the stump pain remained. The patient underwent ultrasound-guided radiofrequency thermalcoagulation at 80℃ for 180 s to the median nerve. Six months later, frequency of the lightning pain was significantly decreased, and the stump pain disappeared.

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