Surgical Treatment of Upper Extremity Pain

Research output: Contribution to journalReview articlepeer-review

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 languageEnglish (US)
Pages (from-to)71-80
Number of pages10
JournalHand clinics
Volume32
Issue number1
DOIs
StatePublished - 2016

Keywords

  • Complex regional pain syndrome
  • Joint pain
  • Nerve compression
  • Neuroma
  • Reflex sympathetic dystrophy

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine

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