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conferenceseries
.com
Pain Medicine 2017
October 19-20, 2017
Volume 6, Issue 6 (Suppl)
J Pain Relief, an open access journal
ISSN: 2167-0846
October 19-20, 2017 San Francisco, USA
4
th
International Conference on
Pain Medicine
Application of ESWT for the neurodestructive effect in painful stump neuroma
Jin Seok Seo
Veterans Health Service Medical Center, Korea
Background:
Formation of stump neuroma plays an important role in generation of pain in the amputee. However, these symptoms
often do not respond conservative therapy, so management remains difficult. Even if surgical removal is performed, it is known that
the probability of regrowth is not low. ESWT has been used to treat various musculoskeletal disorders and is known to have side
effects that can cause nerve destruction. So in the patient of painful stump neuroma, we applied ESWT for the neurodestructive
effect.
Case:
A 74-year-old patient for chronic stump pain. He presented with a history of Rt. transfemoral amputation secondary to a
gunshot injury and had been able to gait independently with prosthesis. He complained of parasthetic and shooting pain emanating
from posterior mid-thigh to the most caudal point of the stump. These pains interfered with the use of his prosthetic device. We used
the ultrasound for scanning of stump site, and detected the 1.7cm x 3.0cm x 3.6cm - sized mass in the sciatic nerve pathway. We
identified the location and depth of the stalk of neuroma using the ultrasound. ESWTs were applied once a week, five times in total,
targeting the stalk of neuroma. Pstprocedure results showed that immediate pain relief and reduction of neuroma size at 6-months
follow-up.
Conclusions:
We report the case that relieved symptoms and decreased size of painful stump neuroma after application of ESWT
under sonographic guidance.
Biography
Jin Seok Seo has completed his MD at the age of 26 years from Kyunghee University School of Medicine. He is a physical medicine and rehabilitation doctor of Veterans
Health Service Medical Center, Seoul, Korea.
elfscastle@hanmail.netJin Seok Seo, J Pain Relief 2017, 6:6 (Suppl)
DOI: 10.4172/2167-0846-C1-018