TY - JOUR AU - Lemeshov, Oleksandr AU - Chyrka, Iurii PY - 2020/04/30 Y2 - 2024/03/28 TI - Diagnostics and treatment of tunnel neuropathies JF - Pain medicine JA - PMJUA VL - 5 IS - 1 SE - Original article DO - 10.31636/pmjua.v5i1.5 UR - https://painmedicine.org.ua/index.php/pnmdcn/article/view/218 SP - 44-51 AB - <p><strong>Relevance.</strong> Tunnel neuropathy – a damage of the peripheral nervous system that are common and range from 8 to 52 % of all diseases of the nervous system. <br><strong>Objective.</strong> To show the main features of the diagnosis and treatment of various tunnel neuropathy.<br><strong>Materials and Methods.</strong> Considerable experience of effective surgical treatment of tunnel neuropathies. 481 operations were performed during 2014–2019. The experience is described and structured.<br><strong>Results.</strong> The most common tunnel neuropathy of the upper extremity: carpal tunnel syndrome, pronator teres syndrome, cubital tunnel syndrome, Guyon's canal syndrome, radial neuropathy, thoracic outlet syndrome. Lower extremity: tarsal tunnel syndrome, Bernhardt – Roth syndrome, neuropathy of the peroneal nerve and its superficial branch. From 6.7 % to 78 % of patients with tunnel neuropathies, double crush syndrome occurs – nerve compression at two levels, which is more common in patients with diabetes mellitus. Such diseases are diagnosed clinically and instrumentally – electromyography, ultrasound, MRI. All the above pathologies are effectively treated surgically, which aims at decompression of the affected nerve. An important factor in complex treatment is early rehabilitation and physiotherapy procedures.<br><strong>Conclusions.</strong> Tunnel neuropathy is a common pathology that is effectively treated surgically. Diseases should be timely diagnosed to prevent severe and irreversible changes.</p> ER -