Skip to main content
profile image
Selected Works of Timothy L. Uhl
Article
Outcomes Following the Conservative Management of Patients with Non-Radicular Peripheral Neuropathic Pain
Journal of Hand Therapy (2014)
  • Joseph M. Day, University of South Alabama
  • Jason Willoughby
  • Donald Greg Pitts
  • Michelle McCallum
  • Ryan Foister
  • Timothy L Uhl, University of Kentucky
Link
Abstract

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

Keywords
  • Multiple nerve compression,
  • Carpal tunnel syndrome,
  • Cubital tunnel syndrome,
  • Proximal,
  • Distal
Disciplines
Publication Date
July, 2014
Citation Information
Joseph M. Day, Jason Willoughby, Donald Greg Pitts, Michelle McCallum, et al.. "Outcomes Following the Conservative Management of Patients with Non-Radicular Peripheral Neuropathic Pain" Journal of Hand Therapy Vol. 27 Iss. 3 (2014)
Available at: http://works.bepress.com/tim_uhl/63/