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The Role of Diagnostic Ultrasound-Guided Selective Common Peroneal Nerve Block in a Patient with Negative Imaging but with Classic Neuropathic Pain After Below Knee Amputation

Saxena, Shashank MD*; So, Sokopoleak MD; Williams, Brian A. MD, MBA; Mangione, Michael P. MD

doi: 10.1213/XAA.0000000000000057
Case Reports: Case Report

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.

Funding: None.

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 saxenas@anes.upmc.edu.

© 2014 International Anesthesia Research Society
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