Nerve Decompression Potentially Beneficial in Painful Diabetic Neuropathy

by felix

 

Results of research presented at the 77th American Diabetes Association Scientific Sessions demonstrated that patients with painful diabetic neuropathy who underwent nerve decompression or sham surgery had greater reductions in pain when compared with patients who did not receive surgery.

The researchers conducted a randomized, controlled, double-blind, prospective study to examine the long-term effect of neurolysis in painful diabetic neuropathy and to determine whether the approach could alleviate pain, since one-third of individuals with this condition are prone to nerve compression.

A multidisciplinary team comprising neurologists, endocrinologists, and rehabilitation, pain, and surgery specialists assessed baseline pain using a Likert 0 to 10 scale and quality of life using the 36-item Short-Form Health Survey.

From a total of 2987 screened patients, 138 were enrolled, of whom 92 received surgery and 46 did not. Those in the surgical cohort underwent bilateral nerve decompression or sham surgery. Of these patients, 40 in the surgery arm and 27 controls completed the study.

One-year results revealed a mean pain reduction of 5.7 in the surgical leg (P <.0001) and 5.25 (P <.0001) in the sham leg; the control group experienced no significant pain reduction.

At 54.5 months, follow-up of 36 surgical patients demonstrated a mean pain reduction of 7.47 in the surgical leg (P <.0001) and 5.97 in the sham leg (P <.0001).

The score from the general health component of the survey indicated a significant interaction for group by time (P = .0010); although group means at baseline, 3 months, and 6 months were not significantly different, means at 9 months (P = .01) and 1 year (P = .02) were significant, the researchers wrote.

As a result of the findings, the researchers concluded that there is “a potential role for nerve decompression in carefully selected patients.”