Title

Outcomes Following the Conservative Management of Patients with Non-radicular Peripheral Neuropathic Pain

Document Type

Article

Publication Date

7-1-2014

Publication Source

Journal of Hand Therapy

Abstract

Introduction:There is limited evidence for conservative management of patients with non-radicular peripheral neuropathic pain (PNP).

Purpose: To investigate the effectiveness of a comprehensive treatment approach on pain and disability in patients with non-radicular PNP and to determine if improvements are maintained following the discontinuation of therapy.

Methods: Patients received a multi-modal therapeutic intervention. Outcome measures were the shortened version of the Disabilities of the Arm, Shoulder and Hand questionnaire (QDASH), Numeric Pain Rating Scale (NPRS), and grip strength. Follow-up data were collected 5 ± 2 months post-discharge.

Results: There was a significant improvement in the QDASH and mean pain (p < .001). There was no significant change in grip strength (p > .13). Follow-up data suggest that pain and disability scores are maintained (p < .001).

Conclusion: A comprehensive, conservative treatment program has a positive and lasting effect on pain and disability scores in patients with non-radicular PNP.

Level of evidence: IIIa.

Inclusive pages

192-200

ISBN/ISSN

0894-1130

Publisher

Elsevier

Volume

27

Issue

3

Peer Reviewed

yes

Keywords

Carpal tunnel syndrome, Cubital tunnel syndrome, Distal, Multiple nerve compression, Proximal

Link to Full Text

Share

COinS