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Risk Factors for Neuropathic Pain in Digital Amputations.

Alessandro Crosio1, Pierpaolo Caputo2, Maria Carolina Fra3

  • 1Department of Hand Surgery and Reconstructive Microsurgery, Trauma Hospital, Città Della Salute e Della Scienza di Torino, Via Zuretti 29, 10126 Torino, Italy.

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Summary
This summary is machine-generated.

Personality traits, specifically neuroticism, are linked to neuropathic pain and cold intolerance after finger amputation. Work-related injuries and psychiatric history also increase risk, suggesting a need for psychological assessment.

Keywords:
cold intolerancedigital amputationsnerve repairneuropathic painpainful neuromaperipheral nerve injury

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Area of Science:

  • Hand surgery
  • Psychological medicine
  • Pain management

Background:

  • Finger amputation can lead to disabling complications like painful neuromas (3-9% of cases).
  • Psychological factors influencing post-amputation pain remain under-researched.
  • Understanding risk factors is crucial for improving patient outcomes.

Purpose of the Study:

  • To investigate the correlation between personality traits and neuropathic pain or cold intolerance post-finger amputation.
  • To identify psychological and clinical risk factors for these complications.

Main Methods:

  • Retrospective study of 54 patients undergoing digital amputation (2021-2023).
  • Assessed neuropathic pain (S-DN4) and cold intolerance (CISS).
  • Evaluated personality traits (BFI-10) alongside clinical and demographic data.

Main Results:

  • Neuropathic pain occurred in 18.5% of patients.
  • Significant correlation found between neuroticism, neuropathic pain, and cold intolerance.
  • Work-related injuries and psychiatric disorders increased risk; infection and delayed treatment linked to revisions.

Conclusions:

  • Neuroticism is a significant predictor of neuropathic pain and cold intolerance after finger amputation.
  • Work-related injuries and psychiatric comorbidities are key risk factors.
  • Early psychological assessment and multidisciplinary care are recommended for at-risk patients.