Treatment of neuropathic pain after peripheral nerve and brachial plexus traumatic injury.

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 India

journal_title

Neurology India

authors

Lovaglio AC,Socolovsky M,Di Masi G,Bonilla G

doi

10.4103/0028-3886.250699

subject

Has Abstract

pub_date

2019-01-01 00:00:00

pages

S32-S37

issue

Supplement

eissn

0028-3886

issn

1998-4022

pii

ni_2019_67_7_32_250699

journal_volume

67

pub_type

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