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.

Neck Pain

Out of all 291 conditions studied in the Global Burden of Disease 2010 Study, neck pain ranked 4th highest in terms of disability and 21st in terms of overall burden.

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