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Case Reports in Anesthesiology
Volume 2011, Article ID 691478, 4 pages
Case Report

Ultrasonographic Guidance and Characterization of Cryoanalgesic Lesions in Treating a Case of Refractory Sural Neuroma

Interventional Pain Management, Arnold Pain Management Center, Harvard Medical School, Beth Israel Deaconess Medical Center, Brookline, MA 02445, USA

Received 29 August 2011; Accepted 25 September 2011

Academic Editors: P. Michalek, S. Osada, and J. Yang

Copyright © 2011 Ellen E. Rhame et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


The recurrent pain of a neuroma following surgical excision and burial of nerve endings can be clinically challenging to manage. Cryoanalgesia in conjunction with ultrasound guidance was used successfully to manage this type of pain. Furthermore, ultrasound provided visualization of the cryolesions, as well as the relationships of the ice ball to the surrounding tissue. Following the completion of the freeze cycle, the tissue can be monitored for return to its usual morphology during the thaw period.