The Role of the Peripheral Nerve Surgeon in the Treatment of Pain

Louis H. Poppler, Susan E. Mackinnon

Research output: Contribution to journalReview articlepeer-review

16 Scopus citations

Abstract

Pain is a frequent cause of physician visits. Many physicians find these patients challenging because they often have complicated histories, emotional comorbidities, confusing examinations, difficult problems to fix, and the possibility of factitious complaints for attention or narcotic pain medications. As a result, many patients are lumped into the category of chronic, centralized pain and relegated to pain management. However, recent literature suggests that surgical management of carefully diagnosed generators of pain can greatly reduce patients’ pain and narcotic requirements. This article reviews recent literature on surgical management of pain and four specific sources of chronic pain amenable to surgical treatment: painful neuroma, nerve compression, myofascial/musculoskeletal pain, and complex regional pain syndrome type II.

Original languageEnglish
Pages (from-to)9-25
Number of pages17
JournalNeurotherapeutics
Volume16
Issue number1
DOIs
StatePublished - Jan 15 2019

Keywords

  • Causalgia
  • Chronic pain
  • Complex regional pain syndromes
  • Hyperalgesia
  • Myofascial pain syndromes
  • Nerve compression
  • Neuralgia
  • Neuroma
  • Neurosurgery
  • Orthopedic surgery
  • Peripheral nerve injury
  • Plastic surgery
  • Reflex sympathetic dystrophy
  • Surgery

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