Saphenal neuralgia is a neurological disorder due to a lesion or dysfunction of this nerve and is accompanied by pain and neurological deficits in region of the saphenal nerve.
During varicose surgery, a lesion of the saphenal nerve occurs in 6.6-37% of cases.
Signs and symptoms
Patients with saphenal neuralgia complain of pain, sensory loss, hyperalgesia, and allodynia of the inner side of the lower leg.
Neurological examination can show allodynia and hypoalgesia in the region of the saphenal nerve.
Additional Somatic Diagnostics
- RAND-36 (quality of life)
- VAS-Pain (maximal, minimal, actual, average/week)
- PCS (catastrophising)
- HADS (fear and depression)
Additional Psycho-cognitive Diagnostics
Whether or not somatic treatment is indicated is based on the pain diagnosis. Based on the findings of the pain questionnaires, additional diagnostics and/or multidisciplinary treatment consisting of various non-somatic treatments may be necessary.
- Psychological Treatment
- Depression Treatment
- Cognitive-Behavioural Treatment
- Rehabilitation Treatment
- Tricyclic antidepressants
- Anticonvulsives: carbamazepine, oxcarbazepine, gabapentine and pregabaline.
Interventional Pain Treatment