Targeted muscle reinnervation for pain control in an elective transradial amputation

Targeted muscle reinnervation (TMR) is primarily used to transfer residual nerves of the amputated upper limb to reinnervate alternate target muscle groups, for intuitive control of a myoelectric prosthesis. Furthermore, TMR can significantly reduce the incidence of neuropathic and neuroma-related pain compared with conventional amputation techniques, by providing each nerve 'somewhere to go and something to do'.We report the use of TMR in a case of elective transradial amputation for intractable severe chronic post-traumatic and end neuroma limb pain (constant VAS pain score 10/10), 2 years following a severe crush injury to his left hand.