Schwartz Melissa, Suri Pranamya, Benkovic Scott, Muneio Eric, Gopal Nikhil, Chhatre Akhil
Department of Physical Medicine & Rehabilitation, Johns Hopkins Hospital, 1800 Orleans St, Baltimore, MD, 21287, USA.
Department of Transitional Medicine, Detroit Medical Center Sinai-Grace Hospital, 6071 Outer Dr W, Detroit, MI, 48235, USA.
Interv Pain Med. 2024 Jan 26;3(1):100388. doi: 10.1016/j.inpm.2024.100388. eCollection 2024 Mar.
Phantom and residual limb pain are commonly experienced by the majority of amputees, and are often difficult to treat not adequately relieved with medical treatment alone. While extensively studied, the pathophysiology of refractory pain is still unclear, with many proposed mechanisms under investigation (Wilkes et al., 2008). Limited existing literature suggests percutaneous interventions including radiofrequency ablation (RFA) may be promising treatment modalities for patients who have pain refractory to oral agents (Sperry et al., 2023). We present a patient with persistent phantom limb and cancer-associated acetabular pain following hip disarticulation who underwent sciatic-notch RFA for pain management.
大多数截肢者都会经常经历幻肢痛和残肢痛，而且往往难以治疗，仅靠药物治疗无法充分缓解。尽管已经进行了广泛研究，但难治性疼痛的病理生理学仍不清楚，有许多提出的机制正在研究中（威尔克斯等人，2008年）。现有有限的文献表明，包括射频消融（RFA）在内的经皮干预措施可能是对口服药物难治性疼痛患者有前景的治疗方式（斯佩里等人，2023年）。我们报告了一名髋关节离断术后出现持续性幻肢痛和癌症相关髋臼痛的患者，该患者接受了坐骨切迹射频消融术以进行疼痛管理。
