Intercostal Neurolysis for The Treatment of Postsurgical Thoracic Pain

a Case Series

Alberto M. Cappellari, Francesca Tiberio, Gianfranco Alicandro, Diego Spagnoli, Nadia Grimoldi

Research output: Contribution to journalArticle

Abstract

Introduction: We investigated the possible role of intercostal surgical neurolysis in relieving chronic neuropathic pain refractory to other nonsurgical treatments in patients with postsurgical thoracic pain. Methods: We retrospectively collected clinical data on patients referred to the Neurosurgery Unit of Policlinic Hospital of Milan. Ten patients (age range, 20–68 years) suffering from neuropathic pain for at least 2 months after thoracic surgery underwent intercostal neurolysis. Results: Compared with preneurolysis, pain intensity decreased 1 month postneurolysis and remained stable 2 months postneurolysis (median score [interquartile range]: 8 [6–9] preneurolysis, 4 [3–5] 1 month after, and 3 [2–5] 2 months after, P < 0.001). Antiepileptic drugs for pain control decreased after neurolysis. Discussion: Surgical intercostal neurolysis may be a promising therapeutic option in patients with chronic neuropathic pain associated with neurological deficits.

Original languageEnglish
Pages (from-to)671-675
JournalMuscle and Nerve
Volume58
Issue number5
DOIs
Publication statusPublished - 2018

Fingerprint

Chest Pain
Neuralgia
Chronic Pain
Pain
Hospital Units
Drug and Narcotic Control
Neurosurgery
Therapeutics
Anticonvulsants
Thoracic Surgery

Keywords

  • neuropathic pain
  • pain management
  • persistent pain
  • postoperative pain
  • surgery
  • surgical neurolysis

ASJC Scopus subject areas

  • Physiology
  • Clinical Neurology
  • Cellular and Molecular Neuroscience
  • Physiology (medical)

Cite this

Intercostal Neurolysis for The Treatment of Postsurgical Thoracic Pain : a Case Series. / Cappellari, Alberto M.; Tiberio, Francesca; Alicandro, Gianfranco; Spagnoli, Diego; Grimoldi, Nadia.

In: Muscle and Nerve, Vol. 58, No. 5, 2018, p. 671-675.

Research output: Contribution to journalArticle

Cappellari, Alberto M. ; Tiberio, Francesca ; Alicandro, Gianfranco ; Spagnoli, Diego ; Grimoldi, Nadia. / Intercostal Neurolysis for The Treatment of Postsurgical Thoracic Pain : a Case Series. In: Muscle and Nerve. 2018 ; Vol. 58, No. 5. pp. 671-675.
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