Targeted Muscle Reinnervation for Treatment of Neuropathic Pain

Ava G Chappell; Sumanas W Jordan; Gregory A Dumanian

doi:10.1016/j.cps.2020.01.002

Targeted Muscle Reinnervation for Treatment of Neuropathic Pain

Clin Plast Surg. 2020 Apr;47(2):285-293. doi: 10.1016/j.cps.2020.01.002. Epub 2020 Feb 5.

Authors

Ava G Chappell¹, Sumanas W Jordan¹, Gregory A Dumanian²

Affiliations

¹ Division of Plastic Surgery, Department of Surgery, Northwestern Feinberg School of Medicine, 675 North Street Clair, Suite 19-250, Chicago, IL 60611, USA.
² Division of Plastic Surgery, Department of Surgery, Northwestern Feinberg School of Medicine, 675 North Street Clair, Suite 19-250, Chicago, IL 60611, USA. Electronic address: gdumania@nm.org.

PMID: 32115054
DOI: 10.1016/j.cps.2020.01.002

Abstract

Targeted Muscle Reinnervation (TMR) is a reproducible procedure for effective prevention and treatment of neuropathic pain. Recent studies have demonstrated that TMR is more successful in treating neuroma pain than the standard method of neuroma excision and burying into muscle. The fundamental concept of TMR is that providing severed nerve endings a place to go and something to do facilitates normal healing. Future studies will continue to support the use of TMR for any region of the body where an injured nerve may develop a painful neuroma.

Keywords: Chronic postoperative pain; Neuroma; Neuropathic pain; Phantom limb pain; Targeted muscle re innervation.

Publication types

Review

MeSH terms

Amputation, Surgical
Humans
Nerve Transfer / methods*
Neuralgia / surgery*
Neurosurgical Procedures / methods*
Plastic Surgery Procedures / methods*