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Clinical Approach to Chronic Pain due to Perioperative Nerve Injury
Abdullah Sulieman Terkawi1, Omar Khalid Altirkawi1, Vafi Salmasi1
1Department of Anesthesiology, Perioperative and Pain Medicine, Stanford University School of Medicine, Palo Alto, CA, USA.
Anesthesiology Clinics
|May 28, 2023
Summary
Perioperative nerve injuries affect 10-50% of patients, often causing neuropathic pain. This review details clinical approaches for managing subacute and chronic pain from these common surgical complications.
Area of Science:
- Neurology
- Anesthesiology
- Pain Medicine
Background:
- Perioperative nerve injuries are frequent, with an estimated incidence ranging from 10% to 50%.
- While most injuries are minor and self-resolving, severe cases occur in up to 10% of patients.
- Mechanisms include nerve stretch, compression, hypoperfusion, direct trauma, or vessel cannulation injury.
Purpose of the Study:
- To present a clinical approach for diagnosing and managing subacute and chronic pain resulting from perioperative nerve injuries.
- To outline the common presentations and potential severity of these injuries.
- To consolidate current understanding of perioperative nerve injury pain.
Main Methods:
- This is a review article.
- It synthesizes clinical information on perioperative nerve injuries and associated pain.
- Focuses on clinical presentation and management strategies.
Main Results:
- Perioperative nerve injuries are common, with varying degrees of severity.
- Pain associated with these injuries is typically neuropathic, ranging from mild to severe.
- Complex regional pain syndrome is a potential severe outcome.
Conclusions:
- Effective clinical management strategies are crucial for addressing subacute and chronic pain after perioperative nerve injury.
- Understanding injury mechanisms and pain presentation aids in patient care.
- Further research may refine prevention and treatment protocols.
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