Outcomes Following the Conservative Management of Patients with Non-radicular Peripheral Neuropathic Pain
Journal of Hand Therapy
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.
Copyright © 2014, Hanley & Belfus. All rights reserved.
Carpal tunnel syndrome, Cubital tunnel syndrome, Distal, Multiple nerve compression, Proximal
Day, Joseph M.; Willoughby, Jason; Pitts, Donald G.; McCallum, Michelle; Foister, Ryan; and Uhl, Timothy L., "Outcomes Following the Conservative Management of Patients with Non-radicular Peripheral Neuropathic Pain" (2014). Physical Therapy Faculty Publications. 89.