• Users Online: 551
  • Home
  • Print this page
  • Email this page
Home About us Editorial board Ahead of print Current issue Search Archives Submit article Instructions Subscribe Contacts Login 
CASE REPORT
Year : 2018  |  Volume : 4  |  Issue : 2  |  Page : 62-64

Low-temperature plasma radiofrequency ablation in phantom limb pain: A case report


1 Department of General Surgery; Department of Pain Management; Department of Central Laboratory, Xuanwu Hospital of Capital Medical University; Department of Liver Cancer Center, Beijing, China
2 Department of Pain Management, Xuanwu Hospital of Capital Medical University, Beijing, China
3 Department of Pain Management, Xuanwu Hospital of Capital Medical University; Department of Anesthesia, Beijing Renhe Hospital, Beijing, China
4 Department of Nursing management, The 302 Hospital, Beijing, China
5 Department of Liver Cancer Center, The 302 Hospital, Beijing, China
6 Department of Clinical, Nanjing Medical University, Nanjing, China
7 Department of Radiology, Beijing Water Resources Hospital, Beijing, China
8 Department of Anesthesia, Beijing Renhe Hospital, Beijing, China
9 Department of General Surgery, Xuanwu Hospital of Capital Medical University, Beijing, China

Correspondence Address:
Prof. Fei Li
Departments of General Surgery, Xuanwu Hospital of Capital Medical University, Beijing
China
Prof. Jiaxiang Ni
Department of Pain Management, Xuanwu Hospital of Capital Medical University, Beijing
China
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/bc.bc_7_17

Rights and Permissions

Phantom limb pain (PLP) and phantom limb sensations are common complications postamputation. PLP is defined as persistent painful sensations perceived in the missing portion of the amputated limb. Low-temperature plasma radiofrequency ablation (coblation) technology is a relatively new technology that has shown promise in treating neuropathic pain. This report illustrates the use of coblation technology on cervical nerve roots for PLP. Coblation of the cervical nerve root was performed. Three 17G puncture trocars were placed near the C5–C6, C6–C7, and C7–T1 intervertebral foramen with computed tomography (CT) guidance. Then, a coblation needle attached to low-temperature plasma multifunctional operation system was placed near the C8 nerve root through the puncture trocars. To locate the target nerve, single stimulation (lasting for 5 s, at 1 intensity) in “cut” and “coagulation” model was given to serve as a sensory stimulation test. The stimulation induced radiating pain of the stimulated nerve away from the stimulation site to confirm our target nerve. The needle location was redirected based on the reproduction of the patient's symptoms with minimal intensity. A CT-guided cervical nerve root coblation was performed to obtain longer PLP relief. The patient reported pain relief in PLP after the operation. At 1-, 3-, and 6-month postoperative review, PLP relief was achieved. Overall activity was improved and there was necessarily need for pain medications. However, the doses of medicine significantly decreased. The analgesic effect was stable during the 6-month follow-up period. Our report demonstrates that coblation technology is successful treatment for PLP in this case. It will supply us a novel navigation in PLP treatments. Meanwhile, this finding still needs additional study for confirmation.


[FULL TEXT] [PDF]*
Print this article     Email this article
 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
 Citation Manager
 Access Statistics
 Reader Comments
 Email Alert *
 Add to My List *
 * Requires registration (Free)
 

 Article Access Statistics
    Viewed1196    
    Printed74    
    Emailed0    
    PDF Downloaded179    
    Comments [Add]    

Recommend this journal