Bilateral neuroma, Case report, Chronic pain, Neuroma, Pain
Citation Information :
Michael S, Geetha S, Sarveswaran V, Jeyaraj V, Palanimuthu VR. Chronic Pain Due to Bilateral Neuroma Mimicking Complex Regional Pain Syndrome on an Amputated Finger Stump: A Case Report. J Recent Adv Pain 2020; 6 (1):41-43.
A 62-year-old man presented with chronic pain with an exacerbation for the last 15 days. His left index finger was surgically amputated and the pain was around the base of his index finger which was referred to forearm and other fingers too. A couple of years ago, he sustained an injury to the left index finger and started having pain once the wound was healed. Subsequently exploration was done to relive pain which did not reduce and for some unknown reason the finger was amputated surgically later. Although the symptoms and signs were mimicking complex regional pain syndrome (CRPS), the other possible causes for the pain such as nerve entrapment and neuromas on the course of the nerve were considered. The surgical exploration was done at the stump and multiple neuromas were found. The neuromas were removed and the wound was closed by carefully burying the nerve endings. Patient had a complete pain relief at the second postoperative day and he had been followed for the next couple of weeks.
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