Ultrasound-guided fascia hydrorelease for persistent pain on walking of more than 20 years' duration: a case report

DOI
  • IWATA Chihiro
    Department of Anesthesia, Nayoro City General Hospital Department of Anesthesiology and Critical Care, Asahikawa Medical University
  • SUGAWARA Ami
    Department of Anesthesiology and Critical Care, Asahikawa Medical University
  • INOUE Masumi
    Department of Anesthesiology and Critical Care, Asahikawa Medical University
  • SATO Izumi
    Department of Anesthesiology and Critical Care, Asahikawa Medical University
  • ONODERA Yoshiko
    Department of Anesthesiology and Critical Care, Asahikawa Medical University Department of Palliative Care, Asahikawa Medical University Hospital
  • MAKINO Hiroshi
    Department of Anesthesiology and Critical Care, Asahikawa Medical University Department of Palliative Care, Asahikawa Medical University Hospital

Bibliographic Information

Other Title
  • 20年以上持続した歩行時痛に超音波ガイド下fasciaハイドロリリースが著効した1例

Search this article

Description

<p>This report describes a case of ultrasound-guided fascia hydrorelease (US-FHR) used to treat persistent pain on walking of more than 20 years' duration. The patient, a man in his 80s, developed pain on walking in the right lateral femoral area after surgery for cervical spine disease more than 20 years earlier. Nerve blocks and other treatments were ineffective. He visited a pain clinic at Asahikawa Medical University Hospital and started taking pregabalin 50 mg/day, which decreased the pain, but caused side effects such as drowsiness. When the pain on walking worsened, we found muscle stiffness and pressure pain in the same area, and ultrasound showed a fascial overlap of the right vastus lateralis muscle. US-FHR with 20 ml of 0.025％ lidocaine around the overlap resulted in complete disappearance of the pain for a week. US-FHR was repeated and long-term pain improved. Finally, satisfactory pain control was achieved with only a low dose of mirogabalin.</p>

Journal

Keywords

Details 詳細情報について

Report a problem

Back to top