Study design
Prospective cohort.
Introduction
There is limited evidence for conservative management of patients with non-radicular peripheral neuropathic pain (PNP).
Purpose
To investigate the effectiveness of a comprehensive treatment approach on pain and disability in patients with non–radicular PNP and to determine if improvements are maintained following the discontinuation of therapy.
Methods
Patients received a multi-modal therapeutic intervention. Outcome measures were the shortened version of the Disabilities of the Arm, Shoulder and Hand questionnaire (QDASH), Numeric Pain Rating Scale (NPRS), and grip strength. Follow-up data were collected 5 ± 2 months post-discharge.
Results
There was a significant improvement in the QDASH and mean pain (p < .001). There was no significant change in grip strength (p > .13). Follow-up data suggest that pain and disability scores are maintained (p < .001).
Conclusion
A comprehensive, conservative treatment program has a positive and lasting effect on pain and disability scores in patients with non-radicular PNP.
Level of evidence
IIIa
- Multiple nerve compression,
- Carpal tunnel syndrome,
- Cubital tunnel syndrome,
- Proximal,
- Distal
Available at: http://works.bepress.com/tim_uhl/63/