What is Operative? Conceptualizing Neuralgia: Neuroma, Compression Neuropathy, Painful Hyperalgesia, and Phantom Nerve Pain.

Content Provider	Europe PMC
Author	Hill, Elspeth J.R. Patterson, J. Megan M. Yee, Andrew Crock, Lara W. Mackinnon, Susan E.
Copyright Year	2022
Abstract	Neuralgia, or nerve pain, is a common presenting complaint for the hand surgeon. When the nerve at play is easily localized, and the cause of the pain is clear (eg, carpal tunnel syndrome), the patient may be easily treated with excellent results. However, in more complex cases, the underlying pathophysiology and cause of neuralgia can be more difficult to interpret; if incorrectly managed, this leads to frustration for both the patient and surgeon. Here we offer a way to conceptualize neuralgia into 4 categories—compression neuropathy, neuroma, painful hyperalgesia, and phantom nerve pain—and offer an illustrative clinical vignette and strategies for optimal management of each. Further, we delineate the reasons why compression neuropathy and neuroma are amenable to surgery, while painful hyperalgesia and phantom nerve pain are not.
Related Links	https://europepmc.org/backend/ptpmcrender.fcgi?accid=PMC9870794&blobtype=pdf
Journal	Journal of Hand Surgery Global Online [J Hand Surg Glob Online]
Volume Number	5
DOI	10.1016/j.jhsg.2021.11.004
PubMed Central reference number	PMC9870794
Issue Number	1
PubMed reference number	36704371
e-ISSN	25895141
Language	English
Publisher	Elsevier
Publisher Date	2022-01-14
Access Restriction	Open
Rights License	This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). © 2022 The Authors
Subject Keyword	Nerve pain Neuralgia Nerve surgery Neuroma Neuropathy
Content Type	Text
Resource Type	Article
Subject	Rehabilitation Orthopedics and Sports Medicine Surgery