Multidisciplinary strategies to treat painful mononeuropathies in the upper extremity: from lab to bedside

J Hand Surg Eur Vol. 2024 Jun;49(6):792-801. doi: 10.1177/17531934241240389. Epub 2024 May 15.

Abstract

Neuropathic pain in the upper extremity is a serious problem, commonly involving relatively young patients. The pain causes loss of function and productivity, changes a patient's lifestyle and can progress into a chronic pain syndrome with secondary psychosocial co-morbidities. Treating patients with a painful mononeuropathy remains challenging, with a monodisciplinary approach often having limited treatment efficacy. This narrative review discusses how to deal with this challenge in the treatment of patients with peripheral nerve injury pain, addressing the four important pillars: (1) diagnosing a painful mononeuropathy; (2) clinical pain phenotyping; (3) personalized pain treatment; and (4) using a multidisciplinary team approach.

Keywords: Multidisciplinary; mononeuropathy; pain; phenotyping.

Publication types

  • Review

MeSH terms

  • Humans
  • Mononeuropathies* / diagnosis
  • Mononeuropathies* / therapy
  • Neuralgia* / diagnosis
  • Neuralgia* / therapy
  • Pain Management / methods
  • Pain Measurement
  • Patient Care Team*
  • Upper Extremity*