Radiation-Induced Digital Neuropathy in an Interventional Physiatrist: Rapid and Durable Relief after Targeted Digital Nerve Block: Case Report.

Authors

Jonathan Kallini, Drew Barron, Sloan Nesbit, Bryan Ganter, Gregory Umphrey, Min Yoo

Published in

Pain medicine case reports. Volume 10. Issue 6. Pages 553-557.

Abstract

Hands are frequently closest to the primary beam during fluoroscopy and can sustain cumulative exposure. Case reports of focal digital neuropathy in proceduralists are rare; imaging may be nondiagnostic, and treatment pathways unclear.
A 36-year-old interventional physiatrist developed 9 months of cyclical, severe allodynia localized to the radial half of the right index distal phalanx. Infectious/inflammatory treatments and hand therapy were ineffective. MRI was nonspecific; ultrasound showed focal hyperemia. Given typical hand positioning during procedures, radiation-induced digital neuropathy was suspected. A targeted radial digital nerve block at the distal interphalangeal level achieved near-complete pain relief by day 10 with durable benefit at 12 months.
In clinicians with focal fingertip allodynia and nondiagnostic imaging, consider radiation-induced digital neuropathy. When conservative care fails, a targeted digital nerve block may provide rapid, durable relief and underscores best-practice radiation safety.

PMID:
42679088
Bibliographic data and abstract were imported from PubMed on 02 Sep 2026.

Stats

1-terrible, 9-excellent. How would you rate this publication? Sign in in to submit your rating.

Post a comment

You need to be signed in to post comments. You can sign in here.

Comments

There are no comments yet.