AI Article Synopsis

  • * The Italian Consensus Conference on Pain in Neurorehabilitation aimed to gather evidence and expert opinions to provide recommendations for assessing and treating NP and PLP given the lack of clear guidelines.
  • * Current guidelines for NP treatments are somewhat applicable, but evidence for invasive treatments and physical therapies is limited; a multidisciplinary approach is suggested to improve outcomes and reduce side effects, highlighting the need for more high-quality research.

Article Abstract

Pain may affect all aspects of social life and reduce the quality of life. Neuropathic pain (NP) is common in patients affected by plexopathy, radiculopathy, mononeuropathy, peripheral neuropathy. Phantom limb pain (PLP) is a painful sensation that is common after amputation, and its pathophysiological mechanisms involve changes in the peripheral and central nervous system. Given the lack of conclusive evidence and specific guidelines on these topics, the aim of the Italian Consensus Conference on Pain on Neurorehabilitation (ICCPN) was to collect evidence and offer recommendations to answer currently open questions on the assessment and treatment of NP associated with the above conditions and PLP. When no evidence was available, recommendations were based on consensus between expert opinions. Current guidelines on the assessment and pharmacological treatment of NP can be applied to plexopathy, radiculopathy, mononeuropathy, peripheral neuropathy, while evidence for invasive treatments and physical therapy is generally poor because of the low quality of studies. Treatment of PLP is still unsatisfactory. Data on the functional outcome and impact of pain on neurorehabilitation outcome in these conditions are lacking. In most cases, a multidisciplinary approach is recommended to offer a better outcome and reduce side effects. High quality studies are requested to address the unmet needs in this field.

Download full-text PDF

Source

Publication Analysis

Top Keywords

plexopathy radiculopathy
12
peripheral neuropathy
12
pain neurorehabilitation
12
pain
8
neuropathy phantom
8
phantom limb
8
limb pain
8
evidence recommendations
8
italian consensus
8
consensus conference
8

Similar Publications

Neuralgic amyotrophy with hourglass-like constrictions: A case report.

World J Clin Cases

December 2024

Department of Physical Medicine and Rehabilitation, Dongnam Institute of Radiological and Medical Sciences, Busan 46033, South Korea.

Article Synopsis
  • - Neuralgic amyotrophy (NA) is a rare condition characterized by sudden shoulder pain followed by weakness in the arm, primarily affecting the upper brachial plexus, and can often mimic cervical radiculopathy due to its similar symptoms.
  • - A 76-year-old male developed NA after hip surgery, experiencing shoulder pain and arm weakness; diagnostic imaging confirmed brachial plexopathy and unique signs of NA including a focal constriction at the suprascapular nerve.
  • - Treatment for NA involved corticosteroids and physical therapy, leading to significant recovery in shoulder muscle strength within a month, highlighting the importance of recognizing NA's distinct features for accurate diagnosis.
View Article and Find Full Text PDF
Article Synopsis
  • * It can also be linked to problems in motor and sensory pathways, including injuries related to the spinal cord.
  • * This report features a unique case of a patient who developed focal hand dystonia following a cervical mass hemorrhage, and it discusses potential underlying mechanisms based on existing literature.
View Article and Find Full Text PDF

Purpose: To determine whether color-rendered 3D MR neurography (MRN) images (heatmaps) improve diagnostic accuracy, reader confidence levels, and time savings to assess LS plexus lesions compared to the conventional grayscale images.

Materials And Methods: A cross-sectional study included adults of all genders with randomly chosen MRNs of LS plexus and known reference standards of normal or neuropathy (plexopathy and radiculopathy). Heatmaps were constructed using 3D MRN STIR images and color rendered with higher intensity to yellow and lower intensity to darker-red colors in 1-2 min on average and were available on PACS for the readers.

View Article and Find Full Text PDF

Less Common Mononeuropathies.

Semin Neurol

October 2024

Neurology Department, Stony Brook University, Stony Brook, New York.

Article Synopsis
  • - Uncommon mononeuropathies are hard to diagnose because they can look like other issues such as joint problems or nerve root conditions, often due to a lack of familiarity and proper diagnostic tools.
  • - Accurate diagnosis relies on a detailed patient history, thorough physical exam, and electrodiagnostic tests to ensure timely treatment and symptom relief.
  • - New imaging techniques like ultrasound and MRI help confirm suspicions of peripheral neuropathy by providing clear views of the anatomy and pathology, so various types of healthcare providers need to recognize these less common conditions.
View Article and Find Full Text PDF
Article Synopsis
  • A case study describes a patient with uncontrolled diabetes who initially showed symptoms resembling diabetic lumbosacral radiculoplexus neuropathy (DLRPN), including lower limb pain, weakness, and sensory loss.
  • The patient was also found to be HIV-1 positive, prompting further diagnostic testing that revealed abnormal results in cerebrospinal fluid (CSF) and a nerve biopsy that suggested an alternative diagnosis.
  • The study emphasizes the need for thorough diagnostic evaluations in cases where atypical presentations of neuropathy occur, especially when multiple medical conditions are present.
View Article and Find Full Text PDF

Want AI Summaries of new PubMed Abstracts delivered to your In-box?

Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!