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Chapter 37 - Postsurgical Nerve Entrapment

from Part VI - Misc

Published online by Cambridge University Press:  01 December 2023

By
Zohal Sarwary
Edited by
Omar Viswanath  and
Ivan Urits
Omar Viswanath
Affiliation:
Creighton University, Omaha
Ivan Urits
Affiliation:
Southcoast Brain & Spine Center, Wareham
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Summary

There are simple and accurate methods to identify nerve entrapment; however, it is still underdiagnosed and undertreated. Giving postsurgical nerve entrapment more attention will decrease morbidity, improve outcomes, and decrease healthcare worker costs. Physicians and other medical providers should be highly suspicious of postsurgical nerve entrapment, particularly when patients present with over one to two months of unresolved pain. Nonoperative management includes pharmacotherapy, psychical therapy, and injections. Injections and blocks should be performed under ultrasound guidance. Neuroablative therapy and cryoanalgesic ablation are still being explored and need to be further studied. Refractory neuropathic pain unresolved with pharmacotherapy and nonoperative procedures should undergo neurectomy.

Keywords

postsurgical nerve entrapmentpainchronic painsurgerysurgical outcomes
Type
Chapter
Information
Cambridge Handbook of Pain Medicine , pp. 303 - 307
Publisher: Cambridge University Press
Print publication year: 2023

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References

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