Alcohol neurolysis of the sciatic and femoral nerves to improve pressure ulcer healing

Denise Wilkes, Natalie Ganceres, Gulshan Doulatram, Daneshvari Solanki

Research output: Contribution to journalArticle

10 Scopus citations

Abstract

Successful pressure ulcer treatment is challenging and is often plagued with prolonged hospitalizations, multiple surgeries, and high recurrence rates. Pressure ulcer secondary to spinal cord injury is further complicated by spasticity, which contributes to both ulcer continuance and healing. This report illustrates the use of neurolytic regional techniques for spasticity control and pressure ulcer healing. Case report: We present our experience with a paraplegic man who suffered from chronic right trochanteric and ischial pressure ulcers that failed to heal despite surgical and conservative treatment. We report the successful treatment of knee and hip flexor spasticity with a femoral and sciatic alcohol neuroablation technique. It was not until the successful control of his lower extremity spasticity that the pressure ulcers showed signs of healing. Neuroablation nay be considered for spasticity control when more conservative approaches fail or are not feasible.

Original languageEnglish (US)
Pages (from-to)145-149
Number of pages5
JournalPain Practice
Volume9
Issue number2
DOIs
StatePublished - Mar 10 2009

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Keywords

  • Nerve block
  • Neurolysis
  • Preoperative care
  • Spasticity

ASJC Scopus subject areas

  • Anesthesiology and Pain Medicine

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