11th March 2007 at 19:47 GMT by Dr.C.A.Jenner MB BS, FRCA. Permalink.
Case report on a patient with neuropathic pain following a Traumatic Rib Fracture
I saw a lady in the Pain Clinic who had pain emanating from an old fracture of the right rib at the level of T5/T6. She had significant pain on the right side of her chest which occurred when she fractured the rib after the barrier doors of a train caught her.
On examination she was particularly tender over the old fracture of the rib right T5/6 area. She also had an increase in sensation to light touch (allodynia) and to pin prick sensation (hyperalgesia).
Initially, this lady was given a diagnosis of intercostal neuralgia. She underwent a total 4 of intercostal nerve blocks, using long acting anaesthetic and the anti-inflammatory Depo-Medrone. She made a good recovery from this, stopped taking other analgesic medication and was discharged from the clinic.
‘Traumatic Rib Fracture’ was posted by Dr.C.A.Jenner MB BS, FRCA on 11th March 2007 at 19:47 GMT and filed under case studies.
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