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Date:2/26/2009

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Nerve pain (http://orthoinfo.aaos.org/topic.cfm?topic=A00016)

  • Nerves in the hand can be damaged by pressure, stretching or cutting.
  • Injury to the nerves can stop the transmission of signals to and from the brain and be painful when touched. Abnormal muscle function and injury can produce hand pain such complex regional pain syndrome (CRPS 1), or formally known as reflex sympathetic dystrophy (RSD) (http://orthoinfo.aaos.org/topic.cfm?topic=A00021).
  • Previous treatments included surgery and therapy.

L. Andrew Koman, M.D., professor and chair of the Department of Orthopaedic Surgery at Wake Forest University School of Medicine and president of the American Society for Surgery of the Hand (ASSH) is successfully using another type of injection therapy, Botulinum Toxins on patients with nerve pain. The results of this type of less invasive procedure are very favorable. Additionally, Koman said, "nerve pain may be diminished by environmental changes and newer biological materials."

Dr. Osterman concluded that "injuries, arthritis and aging affect hand mobility and these newer alternatives offer a bright outlook for patients."

Note: This topic will be the focus of a Media Briefing entitled: "Handling the Hand: New Treatments in Hand and Wrist Pain" on Thursday, February 26, in the Sands Expo Center, Venetian Hotel, Level One, Room 904 at 10:45 AM. Panelists include: Moderator: A. Lee Osterman, M.D.; L. Andrew Koman, M.D.; Scott P. Steinmann, M.D. and Lawrence Hurst, M.D.


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SOURCE American Academy of Orthopaedic Surgeons
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