Dermatosensory Peripheral Nerve Interfaces: Prevention of Pain Recurrence Following Sensory Neurectomy

Sarah E Hart; David L Brown

doi:10.1016/j.hcl.2021.05.005

Dermatosensory Peripheral Nerve Interfaces: Prevention of Pain Recurrence Following Sensory Neurectomy

Hand Clin. 2021 Aug;37(3):383-389. doi: 10.1016/j.hcl.2021.05.005.

Authors

Sarah E Hart¹, David L Brown²

Affiliations

¹ Section of Plastic Surgery, Department of Surgery, University of Michigan Medical School, 1500 E Medical Center Drive, 2130 Taubman Center, Ann Arbor, MI 48109, USA.
² Section of Plastic Surgery, Department of Surgery, University of Michigan Medical School, 1500 E Medical Center Drive, 2130 Taubman Center, Ann Arbor, MI 48109, USA. Electronic address: davbrown@med.umich.edu.

PMID: 34253311
DOI: 10.1016/j.hcl.2021.05.005

Abstract

Chronic pain is a significant health care problem. Many patients' pain can be linked to a neuropathic origin, diagnosed with a thorough history and physical examination, and confirmed with a diagnostic nerve block. There are new procedures designed to address neuropathic pain from symptomatic neuromas by providing physiologic targets for regenerating axons following neurectomy. Dermal wrapping of the end of a sensory nerve following transection, a technique called dermatosensory peripheral nerve interface, may provide an optimal environment to prevent neuroma pain and reduce chronic neuropathic pain.

Keywords: Chronic pain; DSPNI; Dermatosensory; Neuroma; Neuropathic pain; Peripheral nerve interface.

Publication types

Review

MeSH terms

Chronic Pain* / prevention & control
Chronic Pain* / surgery
Denervation
Humans
Neuralgia* / prevention & control
Neuralgia* / surgery
Neuroma* / prevention & control
Neuroma* / surgery
Peripheral Nerves / surgery