Ann Rehabil Med.  2015 Apr;39(2):323-326. 10.5535/arm.2015.39.2.323.

Severe, Persistent, Painful Neuropathy Relieved Immediately After Surgical Release: Case of Neurostenalgia of the Radial Nerve

Affiliations
  • 1Department of Rehabilitation Medicine, Kangwon National University Hospital, Chuncheon, Korea. sora.baek@kangwon.ac.kr
  • 2Gangwon-do Rehabilitation Hospital, Chuncheon, Korea.
  • 3Department of Rehabilitation Medicine, Kangwon National University School of Medicine, Chuncheon, Korea.

Abstract

Neurostenalgia is a neuropathic pain that results from continuing irritation of an anatomically intact nerve by a noxious agent. The pain resolves promptly after surgical release of the nerve. The authors report a case of neurostenalgia of the radial nerve in which the posterior interosseous branch was compressed at the arcade of Frohse, presenting with severe arm and elbow pain. The pain was immediately relieved after surgical release of the nerve.

Keyword

Neurostenalgia; Radial nerve; Posterior interosseous nerve

MeSH Terms

Arm
Elbow
Neuralgia
Radial Nerve*

Figure

  • Fig. 1 Transverse ultrasonographic scan findings. The scan was performed at the dorsolateral aspect of the distal upper arm (A, left; D, right), at the bifurcation of the radial nerve (B, left; E, right), and at the proximal supinator (C, left; F, right); and T2-weighted magnetic resonance imaging in the axial section at the mid humerus (G), distal humerus (H), and proximal supinator (I) depicting the radial nerve of the affected (arrow) and unaffected sides (arrow head). Diameter of the radial nerve of the affected side is increased above the proximal portion of the supinator muscle.


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