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Revista Dor

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Abstract

SETTA, Helton José Bastos; GONCALVES, Odiléa Rangel; TELLES, Carlos  and  VERCOSA, Nubia. Treatment of post-traumatic chronic neuropathic pain with peripheral block: case report. Rev. dor [online]. 2012, vol.13, n.3, pp. 287-290. ISSN 1806-0013.  http://dx.doi.org/10.1590/S1806-00132012000300016.

BACKGROUND AND OBJECTIVES: Neuropathic pain may have earmarks, but may be difficult to diagnose and treat. This study aimed at reporting a case of post-traumatic chronic pain, with poor adherence to pharmacological treatment, which was treated with peripheral blocks and adjuvants. CASE REPORT: Male patient, 42 years old, who suffered a car accident with hip and right lumbar region trauma. Patient was submitted to laparotomy with right nephrectomy, right femur and right lunate osteosynthesis. Patient evolved with right lumbar region pain not improving with prescribed drugs and with poor adherence to proposed therapeutic approach due to his difficult socio-economic status. We decided for peripheral nerve blocks in five sessions, in outpatient regimen. CONCLUSION: Treatment with peripheral nerve blocks in the lumbar region was effective and has decreased neuropathic pain symptoms in up to 60%, remaining with intensity between 3 and 4 by the visual analog scale and with no pain when the scar was touched.

Keywords : Chronic pain; Hyperesthesia; Lidocaine; Peripheral nerve blocks.

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