title: [Therapeutic modalities influencing neuropathic pain in hand surgery patients].
abstract: The treatment of neuropathic pain challenges not only doctors but also hand therapists, since a majority of patients don't experience a significant pain relief despite systemic pain treatment. Early diagnosis of neuropathic pain and a therapeutic concept is crucial to meet the individual needs of the patient. The complexity of a pain syndrome calls for a multidisciplinary approach using patient education, pharmacological and non-pharmacological therapies, such as graded motor imagery or somatosensory rehabilitation, behavioral therapy and physical measures. The evidence of the above mentioned therapies with regards to neuropathic pain is not yet completely established. Possible reasons are the lack of complete understanding of the pain causing mechanisms and the fact of treating the symptoms rather than the cause.
authors: Klinik für Handchirurgie und Chirurgie der peripheren Nerven, Inselspital, Universitätsspital Bern.
authors: Elisabeth
authors: E
authors: Oberfeld
authors: Klinik für Handchirurgie und Chirurgie der peripheren Nerven, Inselspital, Universitätsspital Bern.
authors: Bernadette
authors: B
authors: Ammann
authors: Klinik für Handchirurgie und Chirurgie der peripheren Nerven, Inselspital, Universitätsspital Bern.
authors: Esther
authors: E
authors: Vögelin
mesh_terms: D003299:Cooperative Behavior; D042241:Early Diagnosis; D006225:Hand / Q000294:innervation*; D006801:Humans; D033183:Interdisciplinary Communication; D009048:Motor Skills / Q000502:physiology; D009437:Neuralgia / Q000209:etiology / Q000503:physiopathology / Q000628:therapy*; D010147:Pain Measurement; D010348:Patient Care Team