Peripheral Nerve Surgery for Pain

Andrew L. Ko, Kim J. Burchiel

Research output: Chapter in Book/Report/Conference proceedingChapter

Abstract

There are two approaches to surgery on the peripheral nervous system for pain control: destructive procedures and implants for neuromodulation. This chapter addresses ablative procedures to the peripheral nerves, the sympathetic chain, and dorsal and ventral spinal roots.In general, these procedures are effective more often than not, at least in the acute period. There is a significant chance of pain recurrence, and deafferentation pains may result in the long term. There is limited evidence supporting these procedures, but the presence of factors such as discrete nerve syndrome may be helpful in clinical decision making. The duration, character, and etiology of pain are also important indicators of surgical approach. Well-designed studies on the efficacy of these interventions are necessary. For now, destructive surgery on the peripheral nervous system is most often considered at the end of treatment algorithms for chronic pain, as an adjunct to programs for functional restoration.

Original languageEnglish (US)
Title of host publicationPain, Treatment, Injury, Disease and Future Directions
PublisherElsevier
Pages53-70
Number of pages18
Volume2
ISBN (Electronic)9780128026953
ISBN (Print)9780128026533
DOIs
StatePublished - Apr 23 2015

Keywords

  • Ganglionectomy
  • Neurectomy
  • Pain
  • Peripheral nerve surgery
  • Sympathectomy

ASJC Scopus subject areas

  • Medicine(all)

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  • Cite this

    Ko, A. L., & Burchiel, K. J. (2015). Peripheral Nerve Surgery for Pain. In Pain, Treatment, Injury, Disease and Future Directions (Vol. 2, pp. 53-70). Elsevier. https://doi.org/10.1016/B978-0-12-802653-3.00053-1