The surgical management of painful nerves of the upper limb: a unit perspective

J Hand Surg Eur Vol. 2011 Nov;36(9):760-70. doi: 10.1177/1753193411423140.

Abstract

Some patients develop excessive peripheral nerve pain beyond that normally experienced after injury or surgery. Managing this pain can be a difficult and frustrating experience for both the surgeon and patient concerned. We present a system for the classification, assessment and treatment of painful neuromas of the upper limb.

Publication types

  • Review

MeSH terms

  • Adipose Tissue / transplantation
  • Analgesics, Opioid / therapeutic use
  • Animals
  • Anticonvulsants / therapeutic use
  • Blood Vessel Prosthesis
  • Cicatrix / complications
  • Denervation
  • Fascia / transplantation
  • Humans
  • Neuralgia / classification
  • Neuralgia / etiology
  • Neuralgia / surgery*
  • Neuroma / surgery*
  • Pain Measurement
  • Peripheral Nervous System Neoplasms / surgery*
  • Postoperative Care
  • Splints
  • Surgical Flaps
  • Upper Extremity / innervation*
  • Upper Extremity / surgery*

Substances

  • Analgesics, Opioid
  • Anticonvulsants