Interdisciplinary treatment of post- @entity30439 and post-traumatic XXXX .

@entity1 @entity30439 @entity2794 @entity158 @entity10 @entity1118 @entity9
INTRODUCTION: @entity2794 following @entity30439 are debilitating and difficult to treat. Commonly employed initial therapeutic modalities include pharmacologic, physical, and psychological interventions. Despite these efforts, a subset of @entity1 with @entity1118 remains. Peripheral nerve surgery has never before been reported as an effective treatment for the management of post- @entity30439 @entity10 . In this study, we report on our early outcomes following peripheral nerve surgery for this novel indication. METHODS: A retrospective review of 28 consecutive @entity1 with post- @entity30439 @entity10 who underwent occipital nerve surgery was performed. Preoperative and postoperative @entity158 was evaluated on visual analog scale (VAS) in 24 @entity1 with at least 6 months follow-up. RESULTS: The average VAS @entity158 reduced from 6.4 preoperatively, to 1.4 (P   <   0.0001). Twenty-one @entity1 (88%) had a successful outcome of at least a 50% reduction in their VAS following peripheral nerve surgery. Additionally, twelve @entity1 (50%) were @entity158 free at time of final follow-up. There were no surgical complications. CONCLUSIONS: Early results indicate peripheral nerve surgery is a safe and effective new therapy for post- @entity30439 @entity10 in the properly selected @entity1 , whose @entity1118 persists despite initial treatments by a neurologist, specialized in @entity10 management. Future studies should focus on larger @entity1 populations, and examine the long-term durability of outcome. In the meantime, an interdisciplinary approach involving neurologists and a peripheral nerve surgeon is suggested for the care of @entity1 with refractory chronic post- @entity30439 @entity9 and other post-traumatic @entity2794 .    2015 Wiley Periodicals, Inc. Microsurgery, 2015.
