Wrist denervation for chronic pain

Selective denervation of the wrist for chronic pain: A systematic literature review Chin, K., Engelsman, A., van Gulik, T., & Strackee, S. Level of Evidence: 3a Follow recommendation: 👍 👍 Type of study: Therapeutic Topic: Wrist denervation for chronic pain – Effect on pain and strength This is a systematic literature review assessing the effectiveness of complete or partial wrist denervation on pain and grip strength in people with chronic wrist pain. Chronic wrist pain was defined as pain lasting for more than 3 months. Wrist pain was associated with a range of conditions including SLAC, SNAC, carpal bones’ necrosis, OA, CRPS, TFCC injuries, and carpal instabilities. Twelve studies were included for a total of 440 participants. The results need to be considered in the context of a few limitations. The articles included did not undergo a formal quality appraisal and no meta-analyses were performed. Low quality evidence showed reductions in pain (60% reduction) following wrist denervation. Low quality evidence showed that wrist denervation improved grip strength between 7% and 64%. Clinical Take Home Message: Wrist denervation for chronic wrist pain may be useful in reducing pain and improve grip strength in people with chronic pain in the wrist due to several different etiologies. Higher quality evidence on the topic is required to assess the efficacy of this procedure. URL: https://journals.sagepub.com/doi/full/10.1177/1753193419886777