Neuropathic pain in brachial plexus injury.

Hand Surg

Department of Orthopaedic Surgery and Rehabilitation, Faculty of Medicine, Siriraj Hospital, Mahidol University, Bangkok 10700, Thailand.

Published: September 2015

AI Article Synopsis

  • In Thailand, brachial plexus injuries are common and lead to issues beyond motor and sensory deficits, including significant pain.
  • A study conducted from 2008 to 2011 found that 76% of 95 patients experienced neuropathic pain, often accompanied by reduced sensitivity and numbness.
  • The severity of this pain was linked to the type of injury, highlighting the need for surgeons to recognize and address this frequently overlooked issue in affected patients.

Article Abstract

Background: In Thailand, brachial plexus injury is a common traumatic injury that affects the function of the upper extremity. The current treatments focus mainly on improving the motor and sensory function. Apart from the motor and sensory deficit, these patients usually suffer from pain.

Objective: The purpose of this study was to determine the prevalence and factors that relate to neuropathic pain in patients with brachial plexus injury.

Methods: We collected data from March 2008 to July 2011. The DN4 Questionnaire was used to diagnose neuropathic pain in 95 patients.

Results: The prevalence of neuropathic pain was as high as 76%. Majority of patients presented with hypoesthesia to pin prick, hypoesthesia to touch and numbness. Severity of neuropathic pain was significantly correlated with the type of brachial plexus injury. There was no difference between demographic characteristics of patients.

Conclusion: Our study showed that the prevalence of neuropathic pain was high in brachial plexus injured patients. Therefore, surgeons should be aware of this common, yet underestimated, problem in brachial plexus injured patients.

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Source
http://dx.doi.org/10.1142/S0218810415500057DOI Listing

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