Abstract
If the patient with hand pain remains without significant relief and without recovery of function after appropriate pharmaceutical and physical modality treatments, it is appropriate to consider a surgical approach to the pain. Categories of pain amenable to a surgical approach are pain caused by nerve compression, pain caused by a neuroma, and joint pain of neural origin. Compressed nerve should be decompressed and depending on the intraoperative findings a neurolysis also should be performed. Painful neuroma must be resected to stop the pain generator. For a painful joint, the biomechanics of that joint must first be stable before denervation.
Original language | English (US) |
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Pages (from-to) | 71-80 |
Number of pages | 10 |
Journal | Hand clinics |
Volume | 32 |
Issue number | 1 |
DOIs | |
State | Published - 2016 |
Externally published | Yes |
Keywords
- Complex regional pain syndrome
- Joint pain
- Nerve compression
- Neuroma
- Reflex sympathetic dystrophy
ASJC Scopus subject areas
- Surgery
- Orthopedics and Sports Medicine