ASSH 2023 On Demand CME: Management of Neuropathic Pain-Recording

Video Transcription

Video Summary

The panel discussion focused on the management of neuropathic pain and symptomatic neuromas. The panelists discussed various techniques and approaches, including transected muscle nerves (TMR) , regenerative peripheral nerve interface (RPNI) , and alternative surgical treatments. They highlighted the importance of thorough patient evaluation, including history, physical examination, and diagnostic blocks. The panelists also discussed the challenges of managing chronic pain prior to amputation and the need to wean pain medications. In terms of surgical techniques, the panelists emphasized the importance of reconstructing nerve endings and focused on techniques such as TMR combined with RPNI, nerve reconstruction with autagraft or alagraft, and relocation nerve grafting. They also discussed the role of diagnostic blocks and the use of peripheral nerve stimulators. The panelists agreed that there is a need for further research and standardization of surgical techniques for the management of neuropathic pain and symptomatic neuromas.

Keywords

neuropathic pain

symptomatic neuromas

management

panel discussion

surgical treatments

patient evaluation

chronic pain

nerve reconstruction

diagnostic blocks

research