Journal
PAIN PRACTICE
Volume 11, Issue 4, Pages 414-420Publisher
WILEY PERIODICALS, INC
DOI: 10.1111/j.1533-2500.2011.00451.x
Keywords
evidence-based medicine; traumatic plexus lesion; spinal cord stimulation; brain stimulation; surgery
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Pain, motor, and sensory deficits characterize patients with a traumatic lesion of the brachial plexus. Frequently, more severe injuries co-exist that require immediate surgical attention. Early rehabilitation and physical therapy are the cornerstones of treatment. Pharmacological management can be difficult. Surgical reconstruction is frequently advised when nerves are disrupted. The results, mostly from small historical reports, vary greatly. Neurostimulation may have an additional beneficial effect, especially if the pathophysiology of nociception and neuropathic pain becomes evident in these complex patients.
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