Peripheral Nerve Injuries Clinical Trial
Official title:
Incidence of Chronic Neuropathic Pain and Sensory Deficits After Nerve Repair Hand Surgery (Correlation With Genotypes and Biomarkers)
This study intends to compare the patients with pain with those who underwent same procedure without developing pain. The patients with pain and without pain will be further analyzed in respect to clinical differences, biomarkers and genetical differences.
Chronic pain is a well-known complication after surgery, but the prevalence of persistent
pain after upper extremity surgery or other trauma affecting the radial, ulnar or the medial
nerve, or branches of these nerves such as digital nerves is unknown. The reason that some
patients develop persistent neuropathic pain after surgery, while others, who have been
through the exact same procedure or trauma, are pain free is still unknown. The underlying
mechanisms are still largely unknown. This can lead to different responses to treatment.
Whenever possible, it is important to identify and address the underlying pain mechanisms in
the individual patient in order to design an optimal treatment.
The aim of this study was to determine the prevalence and the factors implicated in the
development of persistent pain after nerve suture surgery investigating Clinical symptoms,
standardized clinical examination for neuropathic pain, 92 biomarkers special developed for
neuropathic pain, genetics.
Conditioned pain modulation and Cold pressor test is intend to be performed in all the
patients.
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