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超声阻滞足底外侧神经第一分支(贝克氏神经):一种治疗足跟慢性疼痛的有效新方法的病例报告。

Ultrasound block of first branch of the lateral plantar nerve (baxter nerve): case report of a promising and effective treatment for heel chronic pain.

机构信息

Medical Doctor, Department of Anesthesiology, Hospital Pedro Hispano, Matosinhos, Portugal.

Medical Doctor, Department of Anesthesiology, Hospital Pedro Hispano, Matosinhos, Portugal.

出版信息

Braz J Anesthesiol. 2021 Nov-Dec;71(6):664-666. doi: 10.1016/j.bjane.2020.11.007. Epub 2021 Feb 17.

Abstract

Chronic heel pain is a challenging diagnosis and although it is a common and disabling condition frequently mistreated. Baxter Nerve (BN) entrapment is responsible for 20% of heel pain and can be managed by an ultrasound guide nerve block, a simple, safe, and durable technique. A 67-year-old woman complained of paraesthesia on the left heel and a "stepping on glass" feeling. Various techniques were performed to manage her symptoms without any results. An ultrasound BN block was finally performed with an instant relief and satisfactory pain control for the follow-up period of six months. This clinical report highlights the success of the ultrasound BN block as an effective and lasting solution for chronic heel pain.

摘要

慢性足跟痛的诊断具有挑战性,尽管它是一种常见且使人丧失能力的疾病,但常常治疗不当。Baxter 神经(BN)卡压占足跟痛的 20%,可通过超声引导神经阻滞来治疗,这是一种简单、安全且持久的技术。一位 67 岁女性诉左足跟部感觉异常和“踩玻璃”感。各种技术均用于治疗其症状,但均未见效。最终行超声引导 BN 阻滞,即时缓解,随访 6 个月疼痛控制满意。本临床报告强调了超声引导 BN 阻滞作为慢性足跟痛有效且持久的解决方案的成功。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e64f/9373142/14cb8ac1acc5/gr1.jpg

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