title: Surgical management of painful peripheral nerves.
abstract: This article deals with the classification, assessment, and management of painful nerves of the distal upper limb. The author's preferred surgical and rehabilitation techniques in managing these conditions are discussed in detail and include (1) relocation of end-neuromas to specific sites, (2) division and relocation of painful nerves in continuity (neuromas-in-continuity and scar-tethered nerves) involving small nerves to the same sites, and (3) fascial wrapping of painful nerves in continuity involving larger nerves such as the median and ulnar nerves. The results of these treatments are presented as justification for current use of these techniques.
authors.affiliation: Hand Surgery Department, St Andrew's Centre for Plastic Surgery, Broomfield Hospital, Chelmsford, Essex CM1 7ET, UK. Electronic address: david@david-elliot.co.uk.
authors.forename: David
authors.initials: D
authors.lastname: Elliot
mesh_terms: D006801:Humans; D019635:Neurosurgical Procedures / Q000379:methods*; D010146:Pain / Q000209:etiology / Q000601:surgery*; D010147:Pain Measurement; D010523:Peripheral Nervous System Diseases / Q000150:complications / Q000601:surgery*
keywords: End-neuroma; Flap coverage; Nerve pain; Nerve relocation; Neuromas-in-continuity; Pain management; Scar-tethered nerves