Neuromas in patients with peripheral nerve injury and amputation - An ongoing study
| Autor: | Nina Stockfleth Buch, Erisela Qerama, Lone Nikolajsen, Nanna B. Finnerup |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
medicine.medical_specialty
business.industry medicine.medical_treatment Surgery 03 medical and health sciences 0302 clinical medicine Anesthesiology and Pain Medicine Amputation 030202 anesthesiology Peripheral nerve injury medicine In patient Neurology (clinical) business 030217 neurology & neurosurgery |
| Zdroj: | Scandinavian Journal of Pain. 16:168-168 |
| ISSN: | 1877-8879 1877-8860 |
| Popis: | Background and aims Injury to peripheral nerves associated with trauma, amputation, or surgery may lead to the formation of neuromas that can cause severe pain. Unfortunately, neuromas are frequently refractory to medical and surgical treatment. This ongoing study examines whether neuromas are more frequent in patients experiencing pain after peripheral nerve injury or amputation than in patients without pain. Methods In this observational cohort study, 80 patients with peripheral nerve injury or amputation will be recruited. Patients will answer pain questionnaires and undergo a clinical examination with quantitative sensory testing performed within the area of spontaneous pain, including areas of brush-evoked allodynia and pinprick hyperalgesia. Neuromas are identified using ultrasound. Results Patient inclusion is ongoing. At present, fourteen amputees have participated in the study: nine males and four females, aged 38–77 years. Six patients had no neuromas. Stump pain in this group ranged from 0 to 8 and phantom pain from 0 to 10 on a numerical rating scale, 0–10. Eight patients had neuromas. Stump pain in this group ranged from 0 to 7 and phantom pain from 0 to 8. Further results will be presented at the congress. Conclusions Because of a limited number of patients included, it is not yet possible to conclude if neuromas are more frequent in patients with pain. Hopefully, this study will increase our understanding of the role of neuromas in patients with pain after peripheral nerve injury and amputation. |
| Databáze: | OpenAIRE |
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