Below-knee amputation neuromas may be hard to detect radiographically. This case report demonstrates that in a below-knee amputee with negative imaging but with classic neuropathic pain, successful diagnostic ultrasound-guided nerve-selective peripheral nerve block may be performed to diagnose the problem; subsequent resection of the neuroma may relieve severe neuropathic pain.
From the *Department of Anesthesiology, VA Pittsburgh Health Care System; †Department of Anesthesiology, University of Pittsburgh Medical Center; and ‡Department of Anesthesiology, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania.
Accepted for publication February 12, 2014.
The authors declare no conflicts of interest.
Address correspondence to Shashank Saxena, MD, Department of Anesthesiology, VA Pittsburgh Health Care System, University Drive C, Pittsburgh, PA 15240. Address e-mail to firstname.lastname@example.org.