Nerve Pain Surgery Special Issue
With a rapid expansion of ideas, techniques, and products available for surgical treatments of nerve pain problems, it is data, rigorous investigation, and honest reporting that are critical to ensuring high-quality care. In this special issue we take a broad approach, delving into various aspects of how surgeons manage nerve pain, focusing on harder-to-tell and less-often discussed pieces of this growing puzzle.
What is Operative? Conceptualizing Neuralgia: Neuroma, Compression Neuropathy, Painful Hyperalgesia, and Phantom Nerve PainNeuralgia, or nerve pain, is a common presenting complaint for the hand surgeon. When the nerve at play is easily localized, and the cause of the pain is clear (eg, carpal tunnel syndrome), the patient may be easily treated with excellent results. However, in more complex cases, the underlying pathophysiology and cause of neuralgia can be more difficult to interpret; if incorrectly managed, this leads to frustration for both the patient and surgeon. Here we offer a way to conceptualize neuralgia into 4 categories—compression neuropathy, neuroma, painful hyperalgesia, and phantom nerve pain—and offer an illustrative clinical vignette and strategies for optimal management of each.