Article ID | Journal | Published Year | Pages | File Type |
---|---|---|---|---|
5575221 | PM&R | 2017 | 4 Pages |
Abstract
This case presentation describes a 47-year-old woman who developed complex regional pain syndrome type II with severe neuropathic pain following iatrogenic transection of the tibial nerve at the ankle. The pain and disability progressively worsened over time, markedly impaired ambulation, and were not relieved despite various analgesic treatments. After injection of botulinum toxin (abobotulinumtoxinA, BoNT-A) in the leg muscles the tendons of which pass through the tarsal tunnel (together with the tibial nerve), her pain decreased and her walking capacity improved. This case suggests a new therapeutic role for botulin toxin in treating peripheral neuropathic pain caused by movement-evoked ectopic potentials.Level of EvidenceV
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Authors
Michelangelo MD, Laura MD, Silvia MD, Anna MD, Elena Prof,