"Cryoanalgesia of the Tibial Nerve Neuroma after Failed Tarsal Release - Case Report"

Abstract

The report presents a case of a patient with chronic neuropathic pain of the CRPS type II due to tibial neuroma that arose after failed tarsal release surgery. Despite the local and systemic pharmacological treatment, despite numerous sessions of manual therapy and physical therapy, the use of behavioral therapy and lignocaine infusions, topical botulinum toxin, hyaluronidase, and autologous serum, as well as multiple pulsed radiofrequencies, the patient developed a chronic pain syndrome that is only partially relieved by the use of a spinal cord stimulator and constant intake of anticonvulsants and opioids. The cryoanalgesia procedures performed several times turned out to be the only form of therapy that clearly relieves pain for a period of several months. The report describes the methodology of the indirect technique of cryoanalgesia under ultrasound control.[4-12].