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.
Nerve Pain SurgeryNerve pain has plagued humanity, in some form, for millennia. Whether due to trauma, post-traumatic changes, compression, metabolic abnormalities, infections, inflammatory pathologies, or another neuropathic etiology, consistent and reliable treatments for these nerve pain issues are still needed. Throughout history, as science and technology have changed, so have the proposed treatments. Yet one of the main limitations to overall progress is that we still do not truly understand the nature of many nerve pain problems, making finding a proper treatment even more difficult.
Multiple Concurrent Decompressions for the Treatment of Upper Extremity PainNeuropathic pain can be life altering and difficult to treat. Nerves can be compressed along their path in the upper extremities, resulting in chronic neuropathic pain. This study was performed to evaluate the effectiveness and safety of multiple concomitant distal nerve decompressions for the treatment of upper extremity nerve pain.
High-Transhumeral Amputation: Targeted Muscle Reinnervation and Soft Tissue Coverage With Pedicled Latissimus Dorsi FlapThe introduction of targeted muscle reinnervation has improved amputation pain outcomes and the control of upper-extremity myoelectric prostheses. However, patients with proximal transhumeral amputation levels and soft tissue deficits present a unique challenge. Existing described targeted muscle reinnervation techniques in transhumeral amputees rely on recipient motor nerves from the biceps and triceps; however, these may be absent in patients with more proximal injuries. Here, we describe the use of the pedicled latissimus dorsi flap for both soft tissue coverage and additional motor targets in patients with high-transhumeral amputation with complex soft tissue deficits.