Abstract:
:Peripheral nerve and brachial plexus injuries typically cause severe impairment in the affected limb. The incidence of neuropathic pain is high, reaching up to 95% of cases, especially if cervical root avulsion has occurred. Neuropathic pain results from damage to the somatosensory system, and its progression towards chronicity depends upon disruptions affecting both the peripheral and central nervous system. Managing these painful conditions is complex and must be accomplished by a multidisciplinary team, starting with first-line pharmacological therapies like tricyclic antidepressants and calcium channel ligands, combined physical and occupational therapy, transcutaneous electrical stimulation and psychological support. For patients refractory to the initial measures, several neurosurgical options are available, including nerve decompression or reconstruction and ablative/modulatory procedures.
journal_name
Neurol Indiajournal_title
Neurology Indiaauthors
Lovaglio AC,Socolovsky M,Di Masi G,Bonilla Gdoi
10.4103/0028-3886.250699subject
Has Abstractpub_date
2019-01-01 00:00:00pages
S32-S37issue
Supplementeissn
0028-3886issn
1998-4022pii
ni_2019_67_7_32_250699journal_volume
67pub_type
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