The Effect of Carpal Tunnel Release on Neuropathic Pain in Carpal Tunnel Syndrome

Pain Research & Management : the Journal of the Canadian Pain Society = Journal De La Société Canadienne Pour Le Traitement De La Douleur
Motoki SonohataMasaaki Mawatari

Abstract

The aim of this study was to determine the risk factors of neuropathic pain (NP) in the patient with carpal tunnel syndrome (CTS) before and after the carpal tunnel release. One hundred and two CTS patients were enrolled in the study. The pain score was measured by the visual analogue score. NP was determined by the painDETECT (PD) questionnaire. All subjects were divided into 3 groups at 12 weeks after surgery: an Improved, Unchanged, and Worsened group. The risk factors of worsening NP after surgery were evaluated. We found that 36% and 18% of patients with CTS had neuropathic pain before and 12 weeks after surgery, respectively, and pain was significantly stronger than in those without NP. The PD score of eight hands worsened after surgery. In the "Improved group," the average age at the surgery was younger and the pain score was lower than in the "Unchanged group." Conclusions. The surgery was very effective on NP of CTS; however, the PD in 7% of hands worsened after surgery. Risk factors before surgery that predicted worse NP after surgery were found to be a younger age, weaker pain, and the absence of night pain.

References

Nov 1, 1993·The Journal of Bone and Joint Surgery. American Volume·D W LevineJ N Katz
Aug 26, 1998·The Journal of Hand Surgery·K C ChungR A Hayward
Jul 20, 1999·JAMA : the Journal of the American Medical Association·I AtroshiI Rosén
Oct 31, 2002·Nature Neuroscience·Joachim Scholz, Clifford J Woolf
Aug 20, 2004·Diabetic Medicine : a Journal of the British Diabetic Association·C DaousiS J Benbow
Aug 3, 2005·Journal of Orthopaedic Science : Official Journal of the Japanese Orthopaedic Association·Toshihiko ImaedaUNKNOWN Impairment Evaluation Committee, Japanese Society for Surgery of the Hand
Aug 18, 2005·Hand Surgery : an International Journal Devoted to Hand and Upper Limb Surgery and Related Research : Journal of the Asia-Pacific Federation of Societies for Surgery of the Hand·Patrick Shu-Hang YungPak-Cheung Ho
May 25, 2006·Journal of Orthopaedic Science : Official Journal of the Japanese Orthopaedic Association·Toshihiko ImaedaUNKNOWN Impairment Evaluation Committee, Japanese Society for Surgery of the Hand
Oct 7, 2006·Current Medical Research and Opinion·Rainer FreynhagenThomas R Tölle
Nov 1, 2006·The Journal of Pain : Official Journal of the American Pain Society·Mark P JensenBradley S Galer
Aug 19, 2007·BMJ : British Medical Journal·Jeremy D P Bland
Jun 6, 2008·Journal of Clinical Rheumatology : Practical Reports on Rheumatic & Musculoskeletal Diseases·Iltekin DumanTunc Alp Kalyon
Apr 22, 2009·The Journal of Pain : Official Journal of the American Pain Society·Andreas MichalsenGustav J Dobos
Mar 26, 2010·BMJ : British Medical Journal·Toni TanUNKNOWN Guideline Development Group
Apr 21, 2010·European Journal of Neurology : the Official Journal of the European Federation of Neurological Societies·N AttalT Nurmikko
Jul 6, 2010·Archives of Physical Medicine and Rehabilitation·Bionka M HuisstedeBart W Koes
Dec 15, 2010·European Journal of Neurology : the Official Journal of the European Federation of Neurological Societies·A C F HuiL K S Wong
Sep 17, 2011·The Journal of Hand Surgery, European Volume·P J JenkinsJ E McEachan
Jun 6, 2012·Yonsei Medical Journal·Seiji OhtoriKazuhisa Takahashi
Mar 20, 2014·Hand Surgery : an International Journal Devoted to Hand and Upper Limb Surgery and Related Research : Journal of the Asia-Pacific Federation of Societies for Surgery of the Hand·Motoki SonohataMasaaki Mawatari
Apr 30, 2014·Plastic and Reconstructive Surgery·Donald H Lalonde

❮ Previous
Next ❯

Citations

Feb 16, 2019·Reviews in the Neurosciences·Farnaz EbrahimiRoja Rahimi

❮ Previous
Next ❯

Software Mentioned

SPSS

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

Hand Surgery : an International Journal Devoted to Hand and Upper Limb Surgery and Related Research : Journal of the Asia-Pacific Federation of Societies for Surgery of the Hand
Motoki SonohataMasaaki Mawatari
Archives of Internal Medicine
F Gerr, M Marcus
The Johns Hopkins Medical Letter Health After 50
© 2022 Meta ULC. All rights reserved