Article

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 EVIDENCE: V.
CI - Copyright (c) 2017 American Academy of Physical Medicine and Rehabilitation.
Published by Elsevier Inc. All rights reserved.

Langue : ANGLAIS