Chronic pain due to bilateral neuroma mimicking complex regional pain syndrome on an amputated finger stump: A case report

Sekar Michael; Sreeraman Geetha; Venugopal Sarveswaran; Veena Jeyaraj; Vasanth R Palanimuthu

doi:10.5005/jp-journals-10046-0152

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CASE REPORT

Year : 2020 \| Volume : 6 \| Issue : 1 \| Page : 41-43

Chronic pain due to bilateral neuroma mimicking complex regional pain syndrome on an amputated finger stump: A case report Sekar Michael¹, Sreeraman Geetha², Venugopal Sarveswaran³, Veena Jeyaraj⁴, Vasanth R Palanimuthu⁵ ¹ Department of Interventional Pain Medicine, Sri Ramakrishna Hospital, Coimbatore, Tamil Nadu, India ² Department of Plastic Surgery, Sri Ramakrishna Hospital, Coimbatore, Tamil Nadu, India ³ Department of General Surgery, Sri Ramakrishna Hospital, Coimbatore, Tamil Nadu, India ⁴ Department of Pathology, Sri Ramakrishna Hospital, Coimbatore, Tamil Nadu, India ⁵ Department of Research and Development, Sri Ramakrishna Hospital, Coimbatore, Tamil Nadu, India Correspondence Address: Sekar Michael Department of Interventional Pain Medicine, Sri Ramakrishna Hospital, Coimbatore, Tamil Nadu India Source of Support: None, Conflict of Interest: None DOI: 10.5005/jp-journals-10046-0152

A 62-year-old man presented with chronic pain with an exacerbation for the last 15 days. His left index finger was surgically amputated and the pain was around the base of his index finger which was referred to forearm and other fingers too. A couple of years ago, he sustained an injury to the left index finger and started having pain once the wound was healed. Subsequently exploration was done to relive pain which did not reduce and for some unknown reason the finger was amputated surgically later. Although the symptoms and signs were mimicking complex regional pain syndrome (CRPS), the other possible causes for the pain such as nerve entrapment and neuromas on the course of the nerve were considered. The surgical exploration was done at the stump and multiple neuromas were found. The neuromas were removed and the wound was closed by carefully burying the nerve endings. Patient had a complete pain relief at the second postoperative day and he had been followed for the next couple of weeks.



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