• Joseph M Day, Jason Willoughby, Donald Greg Pitts, Michelle McCallum, Ryan Foister, and Tim L Uhl.
• Pat Capps Covey College of Allied Health Professions, Department of Physical Therapy, University of South Alabama, HAHN 2011, 5721 USA Drive N, Mobile, AL 36688-0002, USA. Electronic address: josephday@southalabama.edu.
• J Hand Ther. 2014 Jul 1;27(3):192-9; quiz 200.

Study DesignProspective cohort.IntroductionThere is limited evidence for conservative management of patients with non-radicular peripheral neuropathic pain (PNP).PurposeTo investigate the effectiveness of a comprehensive treatment approach on pain and disability in patients with non-radicular PNP and to determine if improvements are maintained following the discontinuation of therapy.MethodsPatients received a multi-modal therapeutic intervention. Outcome measures were the shortened version of the Disabilities of the Arm, Shoulder and Hand questionnaire (QDASH), Numeric Pain Rating Scale (NPRS), and grip strength. Follow-up data were collected 5 ± 2 months post-discharge.ResultsThere was a significant improvement in the QDASH and mean pain (p < .001). There was no significant change in grip strength (p > .13). Follow-up data suggest that pain and disability scores are maintained (p < .001).ConclusionA comprehensive, conservative treatment program has a positive and lasting effect on pain and disability scores in patients with non-radicular PNP.Level Of EvidenceIIIa.Copyright © 2014 Hanley & Belfus. Published by Elsevier Inc. All rights reserved.

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