Gallo Pellitero A J, Formigo Couceiro J, Otero Villaverde S
Hospital Universitario Central de Asturias, Oviedo, España.
Complexo Hospitalario Universitario A Coruña, A Coruña, España.
Rehabilitacion (Madr). 2023 Jul-Sep;57(3):100806. doi: 10.1016/j.rh.2023.100806. Epub 2023 Jun 21.
Chronic lateral ankle pain related to sural neuralgia is a rare pathology. The sural nerve innervates the sensitivity of the posterolateral border of the leg, as well as the dorsolateral border of the foot. On occasions, sural neuralgia is resistant to conservative treatment and can affect the patient's psycho-emotional and social sphere. We describe the case of a 54-year-old patient with neuropathic pain in the sural territory and a history of several ankle surgeries. After unsuccessful conservative treatment, ultrasound-guided ablative radiofrequency is performed in the sural nerve with subsequent complete cessation of pain without side effects. We propose to give importance to ecopalpation in the consultation of a rehabilitation physician, as well as to describe ultrasound-guided ablative radiofrequency as a safe and effective technique for sural neuralgia that does not respond to conservative treatment. However, more quality studies are needed to corroborate these results.
与腓肠神经痛相关的慢性外侧踝关节疼痛是一种罕见的病理情况。腓肠神经支配小腿后外侧缘以及足背外侧缘的感觉。有时,腓肠神经痛对保守治疗有抵抗性,并且会影响患者的心理情绪和社交领域。我们描述了一名54岁患者的病例,该患者在腓肠神经区域患有神经性疼痛且有多次踝关节手术史。在保守治疗失败后,对腓肠神经进行了超声引导下的消融性射频治疗,随后疼痛完全消失且无副作用。我们建议在康复医师的会诊中重视触诊,并且将超声引导下的消融性射频治疗描述为一种对保守治疗无反应的腓肠神经痛安全有效的技术。然而,需要更多高质量研究来证实这些结果。