Outcomes following the conservative management of patients with non-radicular peripheral neuropathic pain

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Abstract

Study design:

Prospective cohort.

Introduction:

There is limited evidence for conservative management of patients with non-radicular peripheral neuropathic pain (PNP).

Purpose:

To investigate the effectiveness of a comprehensive treatment approach on pain and disability in patients with non–radicular PNP and to determine if improvements are maintained following the discontinuation of therapy.

Methods:

Patients received a multi-modal therapeutic intervention. Outcome measures were the shortened version of the Disabilities of the Arm, Shoulder and Hand questionnaire (QDASH), Numeric Pain Rating Scale (NPRS), and grip strength. Follow-up data were collected 5 ± 2 months post-discharge.

Results:

There was a significant improvement in the QDASH and mean pain (p < .001). There was no significant change in grip strength (p > .13). Follow-up data suggest that pain and disability scores are maintained (p < .001).

Conclusion:

A comprehensive, conservative treatment program has a positive and lasting effect on pain and disability scores in patients with non-radicular PNP.

Level of evidence:

IIIa

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