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Chapter-025 Acute Upper Extremity Pain

BOOK TITLE: Ramamurthy's Decision Making in Pain Management: An Algorithmic Approach

Author
1. S Patel
2. Faculty, Department of Anesthesiology UT Health San Antonio, San Antonio, TX, USA
ISBN
9789386261458
DOI
10.5005/jp/books/14128_26
Edition
3/e
Publishing Year
2018
Pages
4
Author Affiliations
1. UT Health San Antonio, San Antonio, TX, USA
Chapter keywords
Acute upper extremity pain, physical therapy, PT, nonsteroidal anti-inflammatory drug, NSAID, NNT, upper extremity peripheral nerve, intercostobrachial nerve

Abstract

This chapter describes the acute upper extremity pain. The upper extremities are common sites for acute pain or chronic pain with acute exacerbations. The most common etiologies of upper extremity pain include trauma, tumor, infection, and neuropathic pain. Successful treatment of acute upper extremity pain usually involves a multifaceted approach utilizing medications, physical therapy (PT), and regional anesthesia depending on the etiology. If the cause of acute pain is not obvious, one needs to be sure to be aware of underlying pathology including stroke, ischemia, and venous thrombosis. Treatment of acute upper extremity pain is usually aided by the use of analgesic medications such as nonsteroidal anti-inflammatory drugs (NSAIDs), acetaminophen, and opioids. A well-colored figure on cutaneous distribution of upper extremity peripheral nerves and a well-illustrated table on blocks for nerves of upper extremities are also presented in this chapter.

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