TY - CHAP
T1 - Clinical Diagnosis of Symptomatic Neuroma
AU - Frost, Christopher
AU - Dy, Christopher
AU - Shores, Jaimie
AU - Tuffaha, Sami
N1 - Publisher Copyright:
© The Editor(s) (if applicable) and The Author(s), under exclusive license to Springer Nature Switzerland AG 2024.
PY - 2024/1/1
Y1 - 2024/1/1
N2 - The history and physical examination are central to the diagnostic evaluation of symptomatic neuromas. It’s important to identify any history of trauma or prior surgery. Pain quality consistent with neuroma includes diminished sensation, paresthesias, dysesthesias, and hyperalgesia distal to the site of presumed nerve injury. History should also address duration, frequency, and intensity of symptoms; response to prior treatment attempts; response to diagnostic nerve blocks; and psychosocial and functional impairment. The physical exam should evaluate for evidence of trauma or surgery; the Tinel sign in proximity to the site of surgery or injury; diminished sensation in dermatomal distribution distal to the site of injury/Tinel sign; and evidence of associated CRPS. When thoughtfully employed, the history and physical exam taken together are often sufficient to identify the affected nerve(s) and localize the site of injury, thereby providing important information to guide the surgical approach.
AB - The history and physical examination are central to the diagnostic evaluation of symptomatic neuromas. It’s important to identify any history of trauma or prior surgery. Pain quality consistent with neuroma includes diminished sensation, paresthesias, dysesthesias, and hyperalgesia distal to the site of presumed nerve injury. History should also address duration, frequency, and intensity of symptoms; response to prior treatment attempts; response to diagnostic nerve blocks; and psychosocial and functional impairment. The physical exam should evaluate for evidence of trauma or surgery; the Tinel sign in proximity to the site of surgery or injury; diminished sensation in dermatomal distribution distal to the site of injury/Tinel sign; and evidence of associated CRPS. When thoughtfully employed, the history and physical exam taken together are often sufficient to identify the affected nerve(s) and localize the site of injury, thereby providing important information to guide the surgical approach.
UR - https://www.scopus.com/pages/publications/105007595102
U2 - 10.1007/978-3-031-59758-9_4
DO - 10.1007/978-3-031-59758-9_4
M3 - Chapter
AN - SCOPUS:105007595102
SN - 9783031597572
SP - 39
EP - 44
BT - Contemporary Neuroma Management
PB - Springer International Publishing
ER -