• A&A practice · Apr 2023

    Case Reports

    A Case Report of Multimodal Analgesia for the Treatment of Refractory Chronic Nipple Pain.

    • Vivian Lee, Sara M Wilson, and Melanie D Johansson.
    • From the Walter Reed National Military Medical Center, Bethesda, Maryland.
    • A A Pract. 2023 Apr 1; 17 (4): e01668e01668.

    AbstractChronic nipple pain can be challenging to a multidisciplinary care team. We report a case of a patient who experienced years of ineffective treatment before presenting to the pain management clinic. Upon presentation, the patient was trialed on neuropathic agents, topical pain medications, acupuncture, calcium channel blockers, intercostal nerve blocks, pulsed radiofrequency, and a spinal cord stimulator trial. We report the treatment options and what was ultimately effective to improve pain scores and functionality. Presenting this treatment approach will educate the reader about options for multimodal therapy to avoid delayed treatment for other patients in the future.Copyright © 2023 International Anesthesia Research Society.

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