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Related Experiment Video

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Automated Gait Analysis to Assess Functional Recovery in Rodents with Peripheral Nerve or Spinal Cord Contusion Injury

Automated Gait Analysis to Assess Functional Recovery in Rodents with Peripheral Nerve or Spinal Cord Contusion Injury

Published on: October 6, 2020

Complex salvage procedures for severe lower extremity nerve pain.

L C Schon¹, P W Lam, M E Easley

¹Department of Orthopaedic Surgery, The Union Memorial Hospital, Baltimore, MD, USA.

Clinical Orthopaedics and Related Research

|October 18, 2001

Summary

Revision nerve release with vein wrapping or peripheral nerve stimulation offered relief for intractable lower extremity nerve pain. Most patients reported significant pain improvement and would undergo these procedures again.

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Area of Science:

Neurosurgery
Pain Management

Background:

Intractable lower extremity nerve pain often requires advanced surgical interventions.
Previous neurosurgical procedures may not always provide lasting relief.

Purpose of the Study:

To evaluate the efficacy of revision nerve release with vein wrapping versus peripheral nerve stimulation for intractable lower extremity nerve pain.
To compare patient satisfaction and outcomes between the two surgical techniques.

Main Methods:

Retrospective analysis of 120 limbs (58 vein wrapping, 62 peripheral nerve stimulation) from 1995-1999.
Procedures were selected based on symptom characteristics and response to prior treatments.
Patient-reported pain improvement, satisfaction, and willingness to undergo procedures again were assessed postoperatively.

Main Results:

Vein wrapping yielded an average 60% pain improvement, with 53% satisfied patients.
Peripheral nerve stimulation resulted in 41% average pain improvement, with 61% satisfied patients.
Overall, 78% of patients would opt for the procedures again, indicating a generally positive outlook.

Conclusions:

Both vein wrapping and peripheral nerve stimulation can be effective in managing intractable lower extremity nerve pain.
Patient selection based on pain characteristics is crucial for optimizing outcomes.
A high percentage of patients expressed willingness to repeat the procedures, suggesting their value in complex pain cases.