Minimally Invasive Peripheral Neuromodulation for Postamputation Stump Neuroma: A Case Report

Abstract

BACKGROUND: Postamputation neuromas are a significant cause of pain and suffering in amputees. In patients who are nonresponsive to medical therapy, open surgery is often required but has limited efficacy. CASE REPORT: Here we present a case of the successful use of percutaneous peripheral nerve stimulation in a 77-year-old man with a postamputation neuroma that was refractory to medical therapy. He had significant pain reduction allowing a return to his daily activities. CONCLUSION: This case report demonstrates that peripheral nerve stimulation may reduce pain in patients with postamputation neuroma. Percutaneous peripheral nerve stimulation is a promising treatment to reduce pain and improve patient function without irreversible manipulation. KEY WORDS: Case report, neuromodulation, peripheral nerve stimulation, postamputation pain, stump neuroma