The Peripheral Nerve Surgeon’s Role in the Management of Neuropathic Pain
Summary:. Neuropathic pain (NP) underlies significant morbidity and disability worldwide. Although pharmacologic and functional therapies attempt to address this issue, they remain incompletely effective for many patients. Peripheral nerve surgeons have a range of techniques for intervening on NP. T...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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Wolters Kluwer
2023-05-01
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| Series: | Plastic and Reconstructive Surgery, Global Open |
| Online Access: | http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000005005 |
| _version_ | 1827913270374170624 |
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| author | Seamus P. Caragher, BS, MPhil Kimberly S. Khouri, MD Floris V. Raasveld, MD Jonathan M. Winograd, MD Ian L. Valerio, MD, MS, MBA Lisa Gfrerer, MD, PhD Kyle R. Eberlin, MD |
| author_facet | Seamus P. Caragher, BS, MPhil Kimberly S. Khouri, MD Floris V. Raasveld, MD Jonathan M. Winograd, MD Ian L. Valerio, MD, MS, MBA Lisa Gfrerer, MD, PhD Kyle R. Eberlin, MD |
| author_sort | Seamus P. Caragher, BS, MPhil |
| collection | DOAJ |
| description | Summary:. Neuropathic pain (NP) underlies significant morbidity and disability worldwide. Although pharmacologic and functional therapies attempt to address this issue, they remain incompletely effective for many patients. Peripheral nerve surgeons have a range of techniques for intervening on NP. The aim of this review is to enable practitioners to identify patients with NP who might benefit from surgical intervention. The workup for NP includes patient history and specific physical examination maneuvers, as well as imaging and diagnostic nerve blocks. Once diagnosed, there is a range of options surgeons can utilize based on specific causes of NP. These techniques include nerve decompression, nerve reconstruction, nerve ablative techniques, and implantable nerve-modulating devices. In addition, there is an emerging role for preoperative involvement of peripheral nerve surgeons for cases known to carry a high risk of inducing postoperative NP. Lastly, we describe the ongoing work that will enable surgeons to expand their armamentarium to better serve patients with NP. |
| first_indexed | 2024-03-13T02:27:53Z |
| format | Article |
| id | doaj.art-258aab4c42744d41851bf747a2be1b4b |
| institution | Directory Open Access Journal |
| issn | 2169-7574 |
| language | English |
| last_indexed | 2024-03-13T02:27:53Z |
| publishDate | 2023-05-01 |
| publisher | Wolters Kluwer |
| record_format | Article |
| series | Plastic and Reconstructive Surgery, Global Open |
| spelling | doaj.art-258aab4c42744d41851bf747a2be1b4b2023-06-30T01:48:43ZengWolters KluwerPlastic and Reconstructive Surgery, Global Open2169-75742023-05-01115e500510.1097/GOX.0000000000005005202305000-00021The Peripheral Nerve Surgeon’s Role in the Management of Neuropathic PainSeamus P. Caragher, BS, MPhil0Kimberly S. Khouri, MD1Floris V. Raasveld, MD2Jonathan M. Winograd, MD3Ian L. Valerio, MD, MS, MBA4Lisa Gfrerer, MD, PhD5Kyle R. Eberlin, MD6From the * Harvard Medical School, Boston, Mass.† Division of Plastic and Reconstructive Surgery, Massachusetts General Hosptial, Boston, Mass.† Division of Plastic and Reconstructive Surgery, Massachusetts General Hosptial, Boston, Mass.From the * Harvard Medical School, Boston, Mass.From the * Harvard Medical School, Boston, Mass.§ Division of Plastic and Reconstructive Surgery, Weill Cornell Medicine, New York, N.Y.From the * Harvard Medical School, Boston, Mass.Summary:. Neuropathic pain (NP) underlies significant morbidity and disability worldwide. Although pharmacologic and functional therapies attempt to address this issue, they remain incompletely effective for many patients. Peripheral nerve surgeons have a range of techniques for intervening on NP. The aim of this review is to enable practitioners to identify patients with NP who might benefit from surgical intervention. The workup for NP includes patient history and specific physical examination maneuvers, as well as imaging and diagnostic nerve blocks. Once diagnosed, there is a range of options surgeons can utilize based on specific causes of NP. These techniques include nerve decompression, nerve reconstruction, nerve ablative techniques, and implantable nerve-modulating devices. In addition, there is an emerging role for preoperative involvement of peripheral nerve surgeons for cases known to carry a high risk of inducing postoperative NP. Lastly, we describe the ongoing work that will enable surgeons to expand their armamentarium to better serve patients with NP.http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000005005 |
| spellingShingle | Seamus P. Caragher, BS, MPhil Kimberly S. Khouri, MD Floris V. Raasveld, MD Jonathan M. Winograd, MD Ian L. Valerio, MD, MS, MBA Lisa Gfrerer, MD, PhD Kyle R. Eberlin, MD The Peripheral Nerve Surgeon’s Role in the Management of Neuropathic Pain Plastic and Reconstructive Surgery, Global Open |
| title | The Peripheral Nerve Surgeon’s Role in the Management of Neuropathic Pain |
| title_full | The Peripheral Nerve Surgeon’s Role in the Management of Neuropathic Pain |
| title_fullStr | The Peripheral Nerve Surgeon’s Role in the Management of Neuropathic Pain |
| title_full_unstemmed | The Peripheral Nerve Surgeon’s Role in the Management of Neuropathic Pain |
| title_short | The Peripheral Nerve Surgeon’s Role in the Management of Neuropathic Pain |
| title_sort | peripheral nerve surgeon s role in the management of neuropathic pain |
| url | http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000005005 |
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