The Role of the Peripheral Nerve Surgeon in the Treatment of Pain

Pain is a frequent cause of physician visits. Many physicians find these patients challenging because they often have complicated histories, emotional comorbidities, confusing examinations, difficult problems to fix, and the possibility of factitious complaints for attention or narcotic pain medicat...

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Bibliographic Details
Published in:Neurotherapeutics 2019-01, Vol.16 (1), p.9-25
Main Authors: Poppler, Louis H., Mackinnon, Susan E.
Format: Article
Language:English
Subjects:
Biomedical and Life Sciences
Biomedicine
Chronic pain
Chronic Pain - surgery
Complex regional pain syndrome
Compression
Disease management
Humans
Hyperalgesia
Narcotics
Neurobiology
Neurology
Neurosciences
Neurosurgeons
Neurosurgery
Pain
Pain Management - methods
Patients
Review
Tumors
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Summary:Pain is a frequent cause of physician visits. Many physicians find these patients challenging because they often have complicated histories, emotional comorbidities, confusing examinations, difficult problems to fix, and the possibility of factitious complaints for attention or narcotic pain medications. As a result, many patients are lumped into the category of chronic, centralized pain and relegated to pain management. However, recent literature suggests that surgical management of carefully diagnosed generators of pain can greatly reduce patients’ pain and narcotic requirements. This article reviews recent literature on surgical management of pain and four specific sources of chronic pain amenable to surgical treatment: painful neuroma, nerve compression, myofascial/musculoskeletal pain, and complex regional pain syndrome type II.
ISSN:1933-7213
1878-7479
1878-7479
DOI:10.1007/s13311-018-00695-z