Skip to main content
Journal cover image

Complex salvage procedures for severe lower extremity nerve pain.

Publication ,  Journal Article
Schon, LC; Lam, PW; Easley, ME; Anderson, CD; Lumsden, DB; Shanker, J; Levin, GB
Published in: Clin Orthop Relat Res
October 2001

From 1995 to 1999, the senior author did revision nerve release and vein wrapping (58 limbs in 58 patients) or peripheral nerve stimulation (62 limbs in 62 patients) to relieve intractable lower extremity nerve pain. Vein wrapping was done if the patient had temporary relief after a previous nerve release, if there was evidence of scarring around the nerve, and if nerve pain was triggered by mechanical stimulation. Peripheral nerve stimulation was done when previous nerve operations provided no relief or if the nerve pain was more constant and spontaneous without mechanical provocation. The duration of symptoms preoperatively averaged 52 months, and the number of previous peripheral neurosurgical interventions averaged 2.5. Postoperatively, the average pain improvement was rated as 60% for the patients who had vein wrapping and 41% for the patients who had peripheral nerve stimulation. Of the patients who had vein wrapping, 53% were satisfied, 14% were somewhat satisfied, and 33% were dissatisfied. Of the patients who had peripheral nerve stimulation, 61% were satisfied, 21% were somewhat satisfied, and 18% were dissatisfied. Most patients (78%) stated they would undergo the procedures again.

Duke Scholars

Published In

Clin Orthop Relat Res

DOI

ISSN

0009-921X

Publication Date

October 2001

Issue

391

Start / End Page

171 / 180

Location

United States

Related Subject Headings

  • Vascular Surgical Procedures
  • Severity of Illness Index
  • Retrospective Studies
  • Postoperative Complications
  • Orthopedics
  • Neuralgia
  • Middle Aged
  • Male
  • Limb Salvage
  • Leg
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Schon, L. C., Lam, P. W., Easley, M. E., Anderson, C. D., Lumsden, D. B., Shanker, J., & Levin, G. B. (2001). Complex salvage procedures for severe lower extremity nerve pain. Clin Orthop Relat Res, (391), 171–180. https://doi.org/10.1097/00003086-200110000-00018
Schon, L. C., P. W. Lam, M. E. Easley, C. D. Anderson, D. B. Lumsden, J. Shanker, and G. B. Levin. “Complex salvage procedures for severe lower extremity nerve pain.Clin Orthop Relat Res, no. 391 (October 2001): 171–80. https://doi.org/10.1097/00003086-200110000-00018.
Schon LC, Lam PW, Easley ME, Anderson CD, Lumsden DB, Shanker J, et al. Complex salvage procedures for severe lower extremity nerve pain. Clin Orthop Relat Res. 2001 Oct;(391):171–80.
Schon, L. C., et al. “Complex salvage procedures for severe lower extremity nerve pain.Clin Orthop Relat Res, no. 391, Oct. 2001, pp. 171–80. Pubmed, doi:10.1097/00003086-200110000-00018.
Schon LC, Lam PW, Easley ME, Anderson CD, Lumsden DB, Shanker J, Levin GB. Complex salvage procedures for severe lower extremity nerve pain. Clin Orthop Relat Res. 2001 Oct;(391):171–180.
Journal cover image

Published In

Clin Orthop Relat Res

DOI

ISSN

0009-921X

Publication Date

October 2001

Issue

391

Start / End Page

171 / 180

Location

United States

Related Subject Headings

  • Vascular Surgical Procedures
  • Severity of Illness Index
  • Retrospective Studies
  • Postoperative Complications
  • Orthopedics
  • Neuralgia
  • Middle Aged
  • Male
  • Limb Salvage
  • Leg