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

There is not much evidence for conservative management of patients with non-radicular peripheral neuropathic pain (PNP). This study aimed 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. Patients were given 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 after discharge. There was a significant improvement in the QDASH and mean pain (p.13). Follow-up data indicate that pain and disability scores are maintained (p<.001).

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